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1104231083
KIMBERLY MATTINA
SOUTHFIELD, MI
NPI
1104231083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MI 4704306684)
Enumeration Date
2014-06-30
Last Update Date
2023-09-07
Business Address
KIMBERLY MATTINA
26206 W 12 MILE RD STE 105
SOUTHFIELD, MI 48034-1799
Phone number: 248-200-3715
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Mailing Address
KIMBERLY MATTINA
1 FORD PL STE 3A
DETROIT, MI 48202-3450
Phone number:
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