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1295007151
KIMBERLY DAWN SIDES
BRIDGEPORT, NE
NPI
1295007151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NE 23306)
Enumeration Date
2012-02-07
Last Update Date
2012-02-07
Business Address
Mrs. KIMBERLY DAWN SIDES LPN
9738 US HIGHWAY 385
BRIDGEPORT, NE 69336-2735
Phone number: 308-778-6407
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Mailing Address
Mrs. KIMBERLY DAWN SIDES LPN
9738 US HIGHWAY 385
BRIDGEPORT, NE 69336-2735
Phone number: 308-778-6407
Copy
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