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1417125428
KIMBERLY R GORDON
SPRINGFIELD, IL
NPI
1417125428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 041315278)
Enumeration Date
2008-02-12
Last Update Date
2008-02-12
Business Address
-- KIMBERLY R GORDON CRNA
701 N 1ST ST ANESTHESIA DEPARTMENT
SPRINGFIELD, IL 62781-0002
Phone number: 217-788-3754
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Mailing Address
-- KIMBERLY R GORDON CRNA
701 N 1ST ST ANESTHESIA DEPARTMENT
SPRINGFIELD, IL 62781-0002
Phone number: 217-788-3754
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