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Individual
KIMBERLY RENE VITALE
Active
Individual
KIMBERLY RENE VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
798641
TX
363LA2100X
Acute Care Nurse Practitioner
AP137051
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP137051
TX
Other
Enumeration date
03/28/2018
Last updated
04/11/2024
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