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Individual

MRS. KIMBERLY SUE ORCUTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
519 15TH ST, CADILLAC, MI 49601-8733
(231) 775-1712
Mailing address
519 15TH ST, CADILLAC, MI 49601-8733
(231) 775-1712

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704200943
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4810528
MI
Enumeration date
01/09/2007
Last updated
07/09/2007
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