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1336741560
KIMBERLY MICHELLE RICHARDSON
MT PLEASANT, SC
NPI
1336741560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 24411)
Enumeration Date
2020-11-12
Last Update Date
2022-05-10
Business Address
Mrs. KIMBERLY MICHELLE RICHARDSON APRN
897 VON KOLNITZ RD STE 101
MT PLEASANT, SC 29464-3630
Phone number: 843-534-1770
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Mailing Address
Mrs. KIMBERLY MICHELLE RICHARDSON APRN
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620
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