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1154744647
TARA LEE KIMBALL
HOLLAND, MI
NPI
1154744647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MI 2902010638)
Enumeration Date
2014-02-04
Last Update Date
2014-02-04
Business Address
-- TARA LEE KIMBALL RDH
99 W 26TH ST
HOLLAND, MI 49423-4970
Phone number: 616-392-3610
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Mailing Address
-- TARA LEE KIMBALL RDH
99 W 26TH ST
HOLLAND, MI 49423-4970
Phone number: 616-392-3610
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