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1215156211
KIMBERLY J HEAZLETT
FARGO, ND
NPI
1215156211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: 29888)
Enumeration Date
2007-04-25
Last Update Date
2024-11-06
Business Address
KIMBERLY J HEAZLETT CTRS
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-232-3241
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Mailing Address
KIMBERLY J HEAZLETT CTRS
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-232-3241
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