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1881201168
KIMBERLY ANN WALLACH
ALBUQUERQUE, NM
NPI
1881201168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: TX AP144855)
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
KIMBERLY ANN WALLACH NNP-BC
4710 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109-1220
Phone number: 806-470-8876
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Mailing Address
KIMBERLY ANN WALLACH NNP-BC
3423 68TH DR
LUBBOCK, TX 79413-6121
Phone number: 806-470-8876
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