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1245788108
TYLER KIMBAR
SOUTH PORTLAND, ME
NPI
1245788108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME AT 540)
Enumeration Date
2016-09-20
Last Update Date
2019-08-09
Business Address
TYLER KIMBAR
119 GANNETT DR
SOUTH PORTLAND, ME 04106-6942
Phone number: 207-773-0040
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Mailing Address
TYLER KIMBAR
119 GANNETT DR
SOUTH PORTLAND, ME 04106-6942
Phone number: 207-773-0040
Copy
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