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KIMBERLY GUARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
3611 E RANDOLPH COUNTY LINE, LYNN, IN 47355-9600

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28106672A
IN

Other

Enumeration date
02/17/2009
Last updated
02/17/2009
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