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1285826057
KIMBERLY ELLISON WILSON
NORTHPORT, AL
NPI
1285826057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-078924)
Enumeration Date
2007-08-15
Last Update Date
2012-09-25
Business Address
Mrs. KIMBERLY ELLISON WILSON CRNP
1325 MCFARLAND BLVD SUITE 104
NORTHPORT, AL 35476-3270
Phone number: 205-330-5266
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Mailing Address
Mrs. KIMBERLY ELLISON WILSON CRNP
1325 MCFARLAND BLVD SUITE 104
NORTHPORT, AL 35476-3270
Phone number: 205-330-5266
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