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1174779656
KIMBERLY ANN VICKERY
BREMERTON, WA
NPI
1174779656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA MA00019934)
Enumeration Date
2008-08-15
Last Update Date
2016-10-25
Business Address
Mrs. KIMBERLY ANN VICKERY LMP
5060 HIGHWAY 303 NE SUITE 103
BREMERTON, WA 98311
Phone number: 360-377-6335
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Mailing Address
Mrs. KIMBERLY ANN VICKERY LMP
12710 OLD MILITARY RD NE
POULSBO, WA 98370-7984
Phone number: 360-440-5471
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