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1093855447
KIMBERLY TOBERGTE
SURPRISE, AZ
NPI
1093855447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: AZ 3714)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
Mrs. KIMBERLY TOBERGTE OTR L
15802 N PARKVIEW PLACE
SURPRISE, AZ 85374-1234
Phone number: 623-238-0056
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Mailing Address
Mrs. KIMBERLY TOBERGTE OTR L
15422 N 177TH DR
SURPRISE, AZ 85388-3100
Phone number: 623-455-8613
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