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Individual

MS. MARY CAMILLE KIMBALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N., B.S.N.

Contact information

Practice address
1675 GARDEN OF THE GODS RD, COLORADO SPRINGS, CO 80907-9444
(719) 578-3218
Mailing address
1675 GARDEN OF THE GODS RD, COLORADO SPRINGS, CO 80907-9444
(719) 578-3218

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
191960
CO

Other

Enumeration date
04/25/2012
Last updated
04/25/2012
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