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1073897930
KIMBERLY ANN MELLICK
JACKSON, WY
NPI
1073897930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WY 1137)
Enumeration Date
2011-10-10
Last Update Date
2021-02-15
Business Address
Mrs. KIMBERLY ANN MELLICK MSN, FNP-BC
1415 S HWY 89
JACKSON, WY 83001-8515
Phone number: 307-739-8999
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Mailing Address
Mrs. KIMBERLY ANN MELLICK MSN, FNP-BC
PO BOX 428
JACKSON, WY 83001-0428
Phone number: 307-739-8999
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