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1225387400
KIMBERLY ANN SMITH
FORT WAYNE, IN
NPI
1225387400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71004091A)
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
-- KIMBERLY ANN SMITH NP-C
3512 STELLHORN RD
FORT WAYNE, IN 46815-4631
Phone number: 260-483-9081
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Mailing Address
-- KIMBERLY ANN SMITH NP-C
3512 STELLHORN RD
FORT WAYNE, IN 46815-4631
Phone number: 260-483-9081
Copy
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