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1932945060
KIMBERLY ALYSSA JETER
CHARLOTTE, NC
NPI
1932945060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5020351)
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
KIMBERLY ALYSSA JETER
15640 DON LOCHMAN LN
CHARLOTTE, NC 28277-4443
Phone number: 704-540-1640
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Mailing Address
KIMBERLY ALYSSA JETER
3016 SUDBURY RD
CHARLOTTE, NC 28205-4300
Phone number: 703-217-0595
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