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1104369164
KIMBERLY DIANE WALLINGFORD
BRUNSWICK, ME
NPI
1104369164
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Former Name
KIMBERLY WALLINGFORD MACVANE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT4737)
Enumeration Date
2016-11-23
Last Update Date
2023-08-29
Business Address
KIMBERLY DIANE WALLINGFORD
114 BATH RD STE 201
BRUNSWICK, ME 04011-2606
Phone number: 207-884-8923
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Mailing Address
KIMBERLY DIANE WALLINGFORD
73 NEWTON RD STE 101
PLAISTOW, NH 03865-2424
Phone number: 978-388-7272
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