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1215667084
KIMBERLY SLADE DIETZ
ST PETERSBURG, FL
NPI
1215667084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
KIMBERLY SLADE DIETZ PTA
10183 14TH ST N APT 105
ST PETERSBURG, FL 33716-4323
Phone number: 361-947-0940
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Mailing Address
KIMBERLY SLADE DIETZ PTA
10183 14TH ST N APT 105
ST PETERSBURG, FL 33716-4323
Phone number: 361-947-0940
Copy
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