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Individual

MS. KIMBERLY ANN HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
12425 RACE TRACK ROAD, TAMPA, FL 33626
(800) 659-1522
Mailing address
9712 13TH AVE CRT S, TACOMA, WA 98444
(253) 531-5043

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00116133
WA

Other

Enumeration date
12/07/2010
Last updated
12/07/2010
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