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1346330107
KIMBERLY JESSUP
BATH, NY
NPI
1346330107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 11252)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
-- KIMBERLY JESSUP
115 LIBERTY ST
BATH, NY 14810-1508
Phone number: 607-776-6577
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Mailing Address
-- KIMBERLY JESSUP
4445 TUCKER RD # A
CAMPBELL, NY 14821-9744
Phone number:
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