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1376883652
KIMBERLY SOPHIA BANNER
LAS VEGAS, NV
NPI
1376883652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-02-22
Last Update Date
2013-02-22
Business Address
Ms. KIMBERLY SOPHIA BANNER
6309 MEADOWSWEET WAY
LAS VEGAS, NV 89108-0827
Phone number: 702-330-9426
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Mailing Address
Ms. KIMBERLY SOPHIA BANNER
6309 MEADOWSWEET WAY
LAS VEGAS, NV 89108-0827
Phone number: 702-330-9426
Copy
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