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Individual

KIMBERLY ANN HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
515 OSPREY LANDING DR, LAKELAND, FL 33813-4681
(863) 619-5471
Mailing address
5555 BAILEY RD, MULBERRY, FL 33860-9460
(863) 844-1874

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
301860
FL

Other

Enumeration date
09/09/2019
Last updated
09/09/2019
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