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1013609445
FAYTH KIMBRELL
SHAWNEE, OK
NPI
1013609445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-05-24
Last Update Date
2023-05-24
Business Address
FAYTH KIMBRELL
1336 N HARRISON AVE
SHAWNEE, OK 74801-5206
Phone number: 405-424-7711
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Mailing Address
FAYTH KIMBRELL
1010 TAYLOR AVE NW
PIEDMONT, OK 73078-7810
Phone number:
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