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1013990944
KIMBERLY POLK
BRIDGEPORT, CT
NPI
1013990944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CT 006653)
Enumeration Date
2005-11-23
Last Update Date
2007-07-08
Business Address
-- KIMBERLY POLK
982 E MAIN ST
BRIDGEPORT, CT 06608-1913
Phone number: 203-696-3260
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Mailing Address
-- KIMBERLY POLK
471 BARNUM AVE
BRIDGEPORT, CT 06608-2409
Phone number: 203-333-6864
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