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1225393044
CHANNING KIMBROUGH
TAMPA, FL
NPI
1225393044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2012-07-09
Last Update Date
2012-07-09
Business Address
Mr. CHANNING KIMBROUGH
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
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Mailing Address
Mr. CHANNING KIMBROUGH
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
Copy
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