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1013685064
KIMBERLY CLANTON
PORTLAND, TX
NPI
1013685064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 108249)
Enumeration Date
2021-09-03
Last Update Date
2021-09-03
Business Address
KIMBERLY CLANTON
1140 BROADWAY BLVD
PORTLAND, TX 78374-4235
Phone number: 361-777-4255
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Mailing Address
KIMBERLY CLANTON
1140 BROADWAY BLVD
PORTLAND, TX 78374-4235
Phone number: 361-777-4255
Copy
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