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1073004842
KIMBERLY LEE RANDOLPH
DECATUR, AL
NPI
1073004842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL F-04180370)
Enumeration Date
2018-05-28
Last Update Date
2018-05-28
Business Address
KIMBERLY LEE RANDOLPH CRNP
2205 BELTLINE RD SW
DECATUR, AL 35601-3617
Phone number: 256-306-4000
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Mailing Address
KIMBERLY LEE RANDOLPH CRNP
14448 WATER STREAM DR NW
HARVEST, AL 35749-5915
Phone number: 256-348-5573
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