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1902349202
KIMBERLY SHRODE
BLOOMINGTON, IL
NPI
1902349202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209014464)
Enumeration Date
2016-11-18
Last Update Date
2016-11-18
Business Address
-- KIMBERLY SHRODE
1405 EASTLAND DR
BLOOMINGTON, IL 61701-3514
Phone number: 309-661-2400
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Mailing Address
-- KIMBERLY SHRODE
1405 EASTLAND DR
BLOOMINGTON, IL 61701-3514
Phone number: 309-661-2400
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