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1093011587
KIMBERLY BASS MCCORKLE
TEXARKANA, AR
NPI
1093011587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: AR OTR 2367)
Enumeration Date
2011-02-01
Last Update Date
2013-02-13
Business Address
Mrs. KIMBERLY BASS MCCORKLE OTR
2002 LOSTWOOD
TEXARKANA, AR 71854-8194
Phone number: 870-403-1318
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Mailing Address
Mrs. KIMBERLY BASS MCCORKLE OTR
2002 LOSTWOOD LANE
TEXARKANA, AR 71854-2924
Phone number: 870-403-1318
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