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1023149101
KIMBERLY W REISENAUER
SUMTER, SC
NPI
1023149101
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Former Name
KIMBERLY S WEISS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 638)
Enumeration Date
2007-03-08
Last Update Date
2012-02-01
Business Address
Mrs. KIMBERLY W REISENAUER P.A.
325 BROAD ST SUITE 100
SUMTER, SC 29150-4167
Phone number: 803-773-5227
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Mailing Address
Mrs. KIMBERLY W REISENAUER P.A.
325 BROAD ST SUITE 100
SUMTER, SC 29150-4167
Phone number: 803-773-5227
Copy
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