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1386232254
KIMBERLY MALAVOLTI
ROCKFORD, IL
NPI
1386232254
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Former Name
KIMBERLY FRANK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-01-06
Last Update Date
2021-01-06
Business Address
KIMBERLY MALAVOLTI PA
1401 E STATE ST
ROCKFORD, IL 61104-2298
Phone number: 779-696-2093
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Mailing Address
KIMBERLY MALAVOLTI PA
122 N CENTER ST
ROCKTON, IL 61072-2302
Phone number: 815-980-8550
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