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1467796656
KIMBERLY ANN BASHAM
MATTOON, IL
NPI
1467796656
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Former Name
KIMBERLY ANN RICE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247000000X Technician, Health Information
Enumeration Date
2012-11-12
Last Update Date
2012-11-12
Business Address
-- KIMBERLY ANN BASHAM
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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Mailing Address
-- KIMBERLY ANN BASHAM
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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