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1164525713
KIMBERLY THERESE MIELKE
EASLEY, SC
NPI
1164525713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 1682)
Enumeration Date
2006-09-07
Last Update Date
2007-07-08
Business Address
KIMBERLY THERESE MIELKE OTR/L
1807 EAST MAIN ST
EASLEY, SC 29640
Phone number: 864-442-7482
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Mailing Address
KIMBERLY THERESE MIELKE OTR/L
1807 EAST MAIN ST
EASLEY, SC 29640
Phone number: 864-442-7482
Copy
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