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1730761651
KIMBERLY D GREEN
GALLUP, NM
NPI
1730761651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WM0705X Registered Nurse Medical-Surgical
(Licence: AL 1-118283)
Enumeration Date
2021-04-21
Last Update Date
2021-04-21
Business Address
KIMBERLY D GREEN RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
KIMBERLY D GREEN RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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