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Individual

KIMBERLY ANNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3500 HILYARD ST, EUGENE, OR 97405-3867
(541) 228-6182
Mailing address
260 W 29TH AVE, EUGENE, OR 97405-3203
(541) 780-4183

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
087003162RN
OR

Other

Enumeration date
11/11/2018
Last updated
11/11/2018
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