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1376277665
KIMBERLY ANN TALLEY
ROSEBURG, OR
NPI
1376277665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 905251)
Enumeration Date
2022-07-12
Last Update Date
2022-07-15
Business Address
Ms. KIMBERLY ANN TALLEY APRN
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471-6224
Phone number: 541-529-9190
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Mailing Address
Ms. KIMBERLY ANN TALLEY APRN
311 PORTER ST
SENATOBIA, MS 38668-1919
Phone number: 662-801-6117
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