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1942447206
KIMBERLY LEWIS
PHOENIX, AZ
NPI
1942447206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP 00050440)
Enumeration Date
2009-01-08
Last Update Date
2009-01-08
Business Address
KIMBERLY LEWIS
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
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Mailing Address
KIMBERLY LEWIS
P O 0698
PASADENA, CA 91110-0001
Phone number: 602-263-1200
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