PAUL KISUCKY

LAS CRUCES, NM
NPI1932133618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  583176)
Enumeration Date2006-07-10
Last Update Date2019-07-01
Business Address
PAUL KISUCKY CRNA
925 S WALNUT ST
LAS CRUCES, NM 88001-3955
Phone number: 575-523-6330
Mailing Address
PAUL KISUCKY CRNA
205 W BOUTZ RD BLDG 1
LAS CRUCES, NM 88005-3259
Phone number: 575-532-7033
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