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Individual

KIMBERLY A VITTORIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN, CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
041216079
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209001942
APN
IL
Enumeration date
07/24/2006
Last updated
02/14/2012
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