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1417149196
LISA KIMBALL
LANSING, MI
NPI
1417149196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101017296)
Enumeration Date
2007-08-15
Last Update Date
2007-08-15
Business Address
-- LISA KIMBALL DO
1215 E MICHIGAN AVE
LANSING, MI 48912-1811
Phone number: 517-364-5775
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Mailing Address
-- LISA KIMBALL DO
1215 E MICHIGAN AVE
LANSING, MI 48912-1811
Phone number: 517-364-5775
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