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1891703476
KIMBERLY ELLIS
PORT SAINT LUCIE, FL
NPI
1891703476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS6560)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
Dr. KIMBERLY ELLIS D.O.
8423 S US HIGHWAY 1
PORT SAINT LUCIE, FL 34952-3358
Phone number: 772-287-5393
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Mailing Address
Dr. KIMBERLY ELLIS D.O.
8423 S US HIGHWAY 1
PORT SAINT LUCIE, FL 34952-3358
Phone number: 772-287-5393
Copy
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