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1801059589
KIMBERLY DENISE FEDRICK
AUGUSTA, GA
NPI
1801059589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA 062344)
Enumeration Date
2008-07-03
Last Update Date
2008-07-03
Business Address
Mrs. KIMBERLY DENISE FEDRICK LPN
300 W HOSPITAL RD
AUGUSTA, GA 30905-5741
Phone number: 706-787-7471
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Mailing Address
Mrs. KIMBERLY DENISE FEDRICK LPN
2503 INVERNESS DR
HEPHZIBAH, GA 30815-5845
Phone number: 706-798-4658
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