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1174833966
KIMBERLY SUE KELLY
IDAHO FALLS, ID
NPI
1174833966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TR0400X Psychologist, Rehabilitation
Enumeration Date
2010-10-14
Last Update Date
2010-10-14
Business Address
-- KIMBERLY SUE KELLY
630 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5299
Phone number: 208-535-0505
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Mailing Address
-- KIMBERLY SUE KELLY
630 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5299
Phone number: 208-535-0505
Copy
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