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1194911412
KIMBERLY WIEST
FAYETTEVILLE, NC
NPI
1194911412
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Former Name
KIMBERLY FENOLI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 115495)
Enumeration Date
2007-09-20
Last Update Date
2015-11-10
Business Address
Miss KIMBERLY WIEST CRNA
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-615-5132
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Mailing Address
Miss KIMBERLY WIEST CRNA
PO BOX 40908
FAYETTEVILLE, NC 28309-0908
Phone number: 910-615-5132
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