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1184191645
KIMBERLY MARIE WHALEY
RIDGELAND, MS
NPI
1184191645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 3194)
Enumeration Date
2018-11-01
Last Update Date
2018-11-01
Business Address
KIMBERLY MARIE WHALEY OT
410 ORCHARD PARK
RIDGELAND, MS 39157-5135
Phone number: 601-956-1434
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Mailing Address
KIMBERLY MARIE WHALEY OT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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