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Organization
KIMBERLY MARIE LLC
Active
Organization
KIMBERLY MARIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HAAS (OWNER)
(618) 882-8000
Entity
Organization
Contact information
Practice address
3 W JOHNSON ST, POCAHONTAS, IL 62275-1032
(618) 882-8000
Mailing address
3 W JOHNSON ST, POCAHONTAS, IL 62275-1032
(618) 882-8000
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
NULL
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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