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Individual

MR. EUGENE E KIMZEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 841-8978
Mailing address
933 LA LUZ DR NW, ALBUQUERQUE, NM 87107-3544
(505) 344-6490

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R21303
NM

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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