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1467910109
KIMBERLEI M FALLER
LAKE CITY, FL
NPI
1467910109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11001792)
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
KIMBERLEI M FALLER FNP-BC
1859 SW NEWLAND WAY
LAKE CITY, FL 32025-6966
Phone number: 386-755-4432
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Mailing Address
KIMBERLEI M FALLER FNP-BC
8204 199TH RD
LIVE OAK, FL 32060-7747
Phone number: 801-362-8764
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