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1366415184
KIMBERLY MARIE SHANKS
SHAW AFB, SC
NPI
1366415184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX 676752)
Enumeration Date
2006-02-10
Last Update Date
2007-11-23
Business Address
KIMBERLY MARIE SHANKS FNP
431 MEADOWLARK RD
SHAW AFB, SC 29152
Phone number: 803-895-6592
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Mailing Address
KIMBERLY MARIE SHANKS FNP
431 MEADOWLARK RD
SHAW AFB, SC 29152
Phone number: 803-895-6592
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