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1922515253
KIMBERLY GRAHAM
ELMIRA, NY
NPI
1922515253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 306392)
Enumeration Date
2018-01-09
Last Update Date
2020-01-10
Business Address
KIMBERLY GRAHAM
1009 BROADWAY ST
ELMIRA, NY 14904-2503
Phone number: 843-422-5986
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Mailing Address
KIMBERLY GRAHAM
1009 BROADWAY ST
ELMIRA, NY 14904-2503
Phone number: 843-422-5986
Copy
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