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1275925794
KIMBERLY WILLIS
ATHENS, AL
NPI
1275925794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-080692)
Enumeration Date
2015-02-19
Last Update Date
2015-02-19
Business Address
-- KIMBERLY WILLIS
700 W MARKET ST
ATHENS, AL 35611-2457
Phone number: 256-233-9292
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Mailing Address
-- KIMBERLY WILLIS
700 W MARKET ST
ATHENS, AL 35611-2457
Phone number: 256-233-9292
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