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1184054884
KIMBERLY STALEY
CONWAY, AR
NPI
1184054884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR SP#3085)
Enumeration Date
2013-11-15
Last Update Date
2013-11-15
Business Address
-- KIMBERLY STALEY MS CCC-SLP
4 BANE LN
CONWAY, AR 72032-9470
Phone number: 501-796-2018
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Mailing Address
-- KIMBERLY STALEY MS CCC-SLP
4 ROSS DR
VILONIA, AR 72173-9017
Phone number:
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