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1013334606
KIMBERLY HENRITZE
DE QUEEN, AR
NPI
1013334606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A838)
Enumeration Date
2014-03-21
Last Update Date
2014-03-21
Business Address
-- KIMBERLY HENRITZE COTA
1306 W COLLIN RAYE DR
DE QUEEN, AR 71832-2502
Phone number: 870-648-4990
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Mailing Address
-- KIMBERLY HENRITZE COTA
1306 W COLLIN RAYE DR
DE QUEEN, AR 71832-2502
Phone number: 870-648-4990
Copy
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