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1033480116
KIMBERLY GAYLE TANNER
LITTLE ROCK, AR
NPI
1033480116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A0036545)
Enumeration Date
2012-01-20
Last Update Date
2020-04-13
Business Address
KIMBERLY GAYLE TANNER APN
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-8000
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Mailing Address
KIMBERLY GAYLE TANNER APN
7 SHACKLEFORD WEST BLVD
LITTLE ROCK, AR 72211-3714
Phone number: 501-664-5860
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