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1306282512
KIMBERLY LASHAE VICKERY
SAVANNAH, TN
NPI
1306282512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 2184)
Enumeration Date
2013-05-14
Last Update Date
2013-05-14
Business Address
-- KIMBERLY LASHAE VICKERY COTA
1645 FLORENCE RD
SAVANNAH, TN 38372-5210
Phone number: 731-926-4200
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Mailing Address
-- KIMBERLY LASHAE VICKERY COTA
133 JORDAN LN
PARSONS, TN 38363-5078
Phone number: 731-847-7240
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