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1104312396
KIMBERLY SPAIN
CHARLOTTE, NC
NPI
1104312396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5011041)
Enumeration Date
2018-07-10
Last Update Date
2021-01-20
Business Address
KIMBERLY SPAIN FNP
14214 BALLANTYNE LAKE RD STE 100
CHARLOTTE, NC 28277-3372
Phone number: 704-667-2650
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Mailing Address
KIMBERLY SPAIN FNP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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