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1558496448
KIMBERLY D WILLIS
COLUMBIA, SC
NPI
1558496448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 2015)
Enumeration Date
2007-02-22
Last Update Date
2016-07-08
Business Address
-- KIMBERLY D WILLIS ACNP RN
166 STONERIDGE DRIVE
COLUMBIA, SC 29210
Phone number: 803-461-3000
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Mailing Address
-- KIMBERLY D WILLIS ACNP RN
166 STONERIDGE DRIVE
COLUMBIA, SC 29210
Phone number: 803-461-3000
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