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1518620905
KIMBERLY CARLISLE
CUMMING, GA
NPI
1518620905
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Former Name
KIMBERLY PETKOSH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN131415)
Enumeration Date
2021-10-21
Last Update Date
2021-11-24
Business Address
Mrs. KIMBERLY CARLISLE FNP
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041-7659
Phone number: 770-844-4000
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Mailing Address
Mrs. KIMBERLY CARLISLE FNP
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041-7659
Phone number: 770-844-4000
Copy
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