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1700804804
KIMBERLY ELIZABETH ELLISON
PHILADELPHIA, PA
NPI
1700804804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP007021B)
Enumeration Date
2006-07-17
Last Update Date
2013-01-23
Business Address
-- KIMBERLY ELIZABETH ELLISON CRNP
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-7355
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Mailing Address
-- KIMBERLY ELIZABETH ELLISON CRNP
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-7355
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