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1972977973
KIMBERLY BLUM
PORT ST LUCIE, FL
NPI
1972977973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL 9109154)
Enumeration Date
2015-11-14
Last Update Date
2024-05-02
Business Address
KIMBERLY BLUM PA-C
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952-7564
Phone number: 772-223-4978
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Mailing Address
KIMBERLY BLUM PA-C
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952-7564
Phone number: 772-223-4978
Copy
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