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1568220754
KIMBERLY ELLEN DORE
STATEN ISLAND, NY
NPI
1568220754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY 432938)
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
KIMBERLY ELLEN DORE
87 WOODWARD AVE
STATEN ISLAND, NY 10314-6816
Phone number: 347-996-6521
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Mailing Address
KIMBERLY ELLEN DORE
87 WOODWARD AVE
STATEN ISLAND, NY 10314-6816
Phone number: 347-996-6521
Copy
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