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1962162289
KIMBERLY ANNE LIEPOLD
GRESHAM, OR
NPI
1962162289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR f12210813)
Enumeration Date
2021-12-28
Last Update Date
2021-12-28
Business Address
KIMBERLY ANNE LIEPOLD NP
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080-1494
Phone number: 503-666-5050
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Mailing Address
KIMBERLY ANNE LIEPOLD NP
1668 SE 35TH TER
GRESHAM, OR 97080-5123
Phone number: 503-267-7712
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