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1679740708
FELICIA DESHA KIMBROUGH
CARBONDALE, IL
NPI
1679740708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209007991)
Enumeration Date
2008-05-08
Last Update Date
2022-08-16
Business Address
MRS. FELICIA DESHA KIMBROUGH FNP BC
1301 E WALNUT ST RM J120
CARBONDALE, IL 62901-5004
Phone number: 618-519-9200
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Mailing Address
MRS. FELICIA DESHA KIMBROUGH FNP BC
109 CALIFORNIA ST
CARTERVILLE, IL 62918-1923
Phone number: 618-985-8221
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