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1053681841
KIM ROBERTO
LAWRENCEVILLE, GA
NPI
1053681841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP005978)
Enumeration Date
2012-01-10
Last Update Date
2012-01-10
Business Address
-- KIM ROBERTO M.A.
65 DARCEE CT
LAWRENCEVILLE, GA 30046-7402
Phone number: 678-858-4777
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Mailing Address
-- KIM ROBERTO M.A.
3968 SAVANNAH RIDGE CT
LOGANVILLE, GA 30052-2582
Phone number: 770-972-5820
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