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1992493159
NATHAN KIMATA
PUEBLO, CO
NPI
1992493159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
NATHAN KIMATA
311 W 14TH ST
PUEBLO, CO 81003-2705
Phone number: 719-595-7585
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Mailing Address
NATHAN KIMATA
400 W 16TH ST
PUEBLO, CO 81003-2781
Phone number: 719-595-7585
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