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1396284592
KIMBERLEE MACK
EL PASO, TX
NPI
1396284592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA11188)
Enumeration Date
2017-02-21
Last Update Date
2017-10-17
Business Address
KIMBERLEE MACK PA-C
400 SHADOW MOUNTAIN DR
EL PASO, TX 79912-4030
Phone number: 915-591-2704
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Mailing Address
KIMBERLEE MACK PA-C
1335 GERONIMO DR
EL PASO, TX 79925-1836
Phone number: 915-591-2704
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