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1215366679
KIMBERLY LYALL
ROCK ISLAND, IL
NPI
1215366679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160 004157)
Enumeration Date
2013-11-06
Last Update Date
2013-11-06
Business Address
MRS. KIMBERLY LYALL PTA
767 30TH STREET
ROCK ISLAND, IL 61201
Phone number: 309-788-7631
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Mailing Address
MRS. KIMBERLY LYALL PTA
767 30TH STREET
ROCK ISLAND, IL 61201
Phone number: 309-788-7631
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