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1255487690
KIMBERLY C RAYBURN
RIDGELAND, MS
NPI
1255487690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S0722)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
-- KIMBERLY C RAYBURN ccc-slp
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
-- KIMBERLY C RAYBURN ccc-slp
302 AUTUMN CREST DR
RIDGELAND, MS 39157-2603
Phone number: 601-856-1519
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