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1467039446
KIMBERLEE MARIE ELLISON
TEMPE, AZ
NPI
1467039446
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Former Name
KIMBERLEE MARIE HEAD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AK 171645)
Enumeration Date
2021-03-25
Last Update Date
2021-03-29
Business Address
KIMBERLEE MARIE ELLISON APRN
1840 E BROADWAY RD
TEMPE, AZ 85282-1614
Phone number: 602-243-7277
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Mailing Address
KIMBERLEE MARIE ELLISON APRN
5655 E TEX AL DR
WASILLA, AK 99654-0406
Phone number: 843-276-8694
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