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1043318991
KIMBERLY R FANNIN - TRISLER
WINNSBORO, LA
NPI
1043318991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 085994)
Enumeration Date
2006-09-21
Last Update Date
2015-03-19
Business Address
Mrs. KIMBERLY R FANNIN - TRISLER APRN
2106 LOOP RD # C
WINNSBORO, LA 71295-3344
Phone number: 318-435-4571
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Mailing Address
Mrs. KIMBERLY R FANNIN - TRISLER APRN
1154 LOGAN SEWELL DR
VIDALIA, LA 71373-3342
Phone number: 318-336-8166
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