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1760113138
KIMBERLY LYNN PRUEMER
MATTOON, IL
NPI
1760113138
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Former Name
KIMBERLY LYNN RUNDE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209025334)
Enumeration Date
2022-06-17
Last Update Date
2023-12-15
Business Address
KIMBERLY LYNN PRUEMER APRN
1004 HEALTH CENTER DR STE 210
MATTOON, IL 61938-4608
Phone number: 217-348-4961
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Mailing Address
KIMBERLY LYNN PRUEMER APRN
PO BOX 372
MATTOON, IL 61938-0372
Phone number:
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