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1124599634
KIM GILLIHAN-POTTER
GOSHEN, IN
NPI
1124599634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2018-12-09
Last Update Date
2018-12-09
Business Address
KIM GILLIHAN-POTTER
58201 JEFFERSON RIDGE DR
GOSHEN, IN 46528-7645
Phone number: 574-202-2420
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Mailing Address
KIM GILLIHAN-POTTER
58201 JEFFERSON RIDGE DR
GOSHEN, IN 46528-7645
Phone number:
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