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1790340974
PAUL KISUCKY LLC
LAS CRUCES, NM
NPI
1790340974
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Entity Type
Organization
Authorized Contact
PAUL J KISUCKY
Owner
915-301-5091
Organization Subpart ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2019-05-03
Last Update Date
2019-05-03
Business Address
PAUL KISUCKY LLC
925 S WALNUT ST
LAS CRUCES, NM 88001-3955
Phone number: 575-523-6330
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Mailing Address
PAUL KISUCKY LLC
205 W BOUTZ RD BLDG 1
LAS CRUCES, NM 88005-3259
Phone number: 575-532-7033
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