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1215207451
KIMBERLY S BACON
JOHNSON CITY, TN
NPI
1215207451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 15209)
Enumeration Date
2012-01-05
Last Update Date
2017-01-26
Business Address
-- KIMBERLY S BACON NP
408 N STATE OF FRANKLIN RD SUITE 24
JOHNSON CITY, TN 37604-6089
Phone number: 423-431-1810
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Mailing Address
-- KIMBERLY S BACON NP
408 N STATE OF FRANKLIN RD SUITE 24
JOHNSON CITY, TN 37604-6089
Phone number: 423-431-1810
Copy
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