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1184338550
KOBY KIMBALL
SPRINGFIELD, IL
NPI
1184338550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-01-10
Last Update Date
2023-01-10
Business Address
KOBY KIMBALL
420 CLIPPER RD
SPRINGFIELD, IL 62711-8010
Phone number: 360-713-8586
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Mailing Address
KOBY KIMBALL
420 CLIPPER RD
SPRINGFIELD, IL 62711-8010
Phone number: 360-713-8586
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