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1194106989
KIMBERLY ANN BAGLEY
RALEIGH, NC
NPI
1194106989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NC 228992)
Enumeration Date
2015-06-17
Last Update Date
2015-06-17
Business Address
-- KIMBERLY ANN BAGLEY AGPCNP-BC
3400 WAKE FOREST RD
RALEIGH, NC 27609-7317
Phone number: 919-954-3000
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Mailing Address
-- KIMBERLY ANN BAGLEY AGPCNP-BC
1519 WOODCROFT DR
RALEIGH, NC 27609-3569
Phone number: 919-607-6305
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