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1952762528
KIM MARIE ELLIS
AIKEN, SC
NPI
1952762528
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Former Name
KIM MARIE TRUNKLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC APN 20053 RX)
Enumeration Date
2016-03-10
Last Update Date
2021-07-06
Business Address
MRS. KIM MARIE ELLIS NP-C
302 UNIVERSITY PKWY
AIKEN, SC 29801-6302
Phone number: 803-641-5883
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Mailing Address
MRS. KIM MARIE ELLIS NP-C
PO BOX 530062
ATLANTA, GA 30353-0062
Phone number: 843-695-6071
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