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1306294251
ADAM KIMBALL
SALT LAKE CITY, UT
NPI
1306294251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-06-01
Last Update Date
2016-06-01
Business Address
ADAM KIMBALL
4671 GARDEN SPRING LN
SALT LAKE CITY, UT 84117-5021
Phone number: 801-518-0954
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Mailing Address
ADAM KIMBALL
4671 S GARDEN SPRING LN
SALT LAKE CITY, UT 84117-5021
Phone number:
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