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1073005419
KIM TATUM
LAS VEGAS, NV
NPI
1073005419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NV APRN002919)
Enumeration Date
2018-06-01
Last Update Date
2022-10-20
Business Address
KIM TATUM APRN
9454 DEL WEBB BLVD
LAS VEGAS, NV 89134-8314
Phone number: 702-940-1580
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Mailing Address
KIM TATUM APRN
6355 S BUFFALO DR FL 3
LAS VEGAS, NV 89113-2133
Phone number: 702-216-3346
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