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1023515046
KIMBERLEY ELLEN CLEAVES
FORT WORTH, TX
NPI
1023515046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: TX AP137226)
Enumeration Date
2018-04-06
Last Update Date
2019-12-04
Business Address
KIMBERLEY ELLEN CLEAVES APRN
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-1166
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Mailing Address
KIMBERLEY ELLEN CLEAVES APRN
3301 MATLOCK RD
ARLINGTON, TX 76015-2908
Phone number: 682-509-5800
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