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Individual

MS. KIMBERLY GIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, RMTI

Contact information

Practice address
1315 S SAINT FRANCIS DR STE 3, SANTA FE, NM 87505-4035
(505) 795-3357
Mailing address
19A ARROYO NAMBE, SANTA FE, NM 87506-7120
(505) 795-3357

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6215
NM

Other

Enumeration date
04/17/2012
Last updated
04/17/2012
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