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Individual

KIMBERLEY DAWN LUCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
CORNER OF ROUTES N12 & N7, FT DEFIANCE, AZ 86504
(928) 729-8600
Mailing address
CORNER OF ROUTES N12 & N7, FT DEFIANCE, AZ 86504
(928) 729-8600

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-78222-042
KS

Other

Enumeration date
11/21/2022
Last updated
11/21/2022
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