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1730925389
KIMBERLY MAY BAZE
GOSHEN, IN
NPI
1730925389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN 71015477A)
Enumeration Date
2024-07-03
Last Update Date
2024-08-15
Business Address
KIMBERLY MAY BAZE
330 LAKEVIEW DR
GOSHEN, IN 46528-7000
Phone number: 574-533-1234
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Mailing Address
KIMBERLY MAY BAZE
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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