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1255674016
KIMBERLY D WIERSMA
LAKE FOREST, IL
NPI
1255674016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL 209004179)
Enumeration Date
2013-03-30
Last Update Date
2013-03-30
Business Address
Ms. KIMBERLY D WIERSMA ACNP-BC
660 N WESTMORELAND RD WOMEN'S CENTER, SUITE 100
LAKE FOREST, IL 60045-1659
Phone number: 847-582-2134
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Mailing Address
Ms. KIMBERLY D WIERSMA ACNP-BC
660 N WESTMORELAND RD WOMEN'S CENTER, SUITE 100
LAKE FOREST, IL 60045-1659
Phone number: 847-582-2134
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