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1265054852
KYMBER BROADHEAD
SOUTHPORT, NC
NPI
1265054852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 14054)
Enumeration Date
2020-05-18
Last Update Date
2020-05-18
Business Address
KYMBER BROADHEAD
4330 SOUTHPORT SUPPLY RD SE STE 201
SOUTHPORT, NC 28461-9273
Phone number: 910-612-1002
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Mailing Address
KYMBER BROADHEAD
4330 SOUTHPORT SUPPLY RD SE STE 201
SOUTHPORT, NC 28461-9273
Phone number: 910-612-1002
Copy
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