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1265734032
KIMBERLY A MCCLAIN
RACINE, WI
NPI
1265734032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 311760-31)
Enumeration Date
2010-11-29
Last Update Date
2010-11-29
Business Address
-- KIMBERLY A MCCLAIN 311760-31
1504 OWEN AVE
RACINE, WI 53403-2145
Phone number: 262-412-4301
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Mailing Address
-- KIMBERLY A MCCLAIN 311760-31
1504 OWEN AVE
RACINE, WI 53403-2145
Phone number: 262-412-4301
Copy
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