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Individual
KIMBERLY MELLENCAMP FREEMAN
Active
Individual
KIMBERLY MELLENCAMP FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.S.
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
28116944A
IN
Other
Enumeration date
08/13/2006
Last updated
05/05/2016
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