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Individual

MRS. KIMBERLY HAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
184 E RESERVOIR RD, APT 3, WOODSTOCK, VA 22664-1573
(727) 644-6207
Mailing address
184 E RESERVOIR RD, APT 3, WOODSTOCK, VA 22664-1573

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Enumeration date
01/30/2014
Last updated
01/30/2014
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