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1306906193
KIMBERLY SMITH
URBANA, IL
NPI
1306906193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209-004446)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
Ms. KIMBERLY SMITH NP
1109 S LINCOLN AVE
URBANA, IL 61801-4703
Phone number: 217-333-2715
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Mailing Address
Ms. KIMBERLY SMITH NP
1638 FRONTIER DR
NORMAL, IL 61761-5625
Phone number: 309-862-0585
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