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1376890053
KIMBERLY ROSE ENNIS
FAYETTEVILLE, AR
NPI
1376890053
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Former Name
KIMBERLY ROSE WAGNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: TX 1221670)
Enumeration Date
2012-08-13
Last Update Date
2016-02-12
Business Address
-- KIMBERLY ROSE ENNIS PT, DPT
3317 N WIMBERLY DR 2ND FLOOR
FAYETTEVILLE, AR 72703-4056
Phone number: 479-587-3117
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Mailing Address
-- KIMBERLY ROSE ENNIS PT, DPT
3317 N WIMBERLY DR 2ND FLOOR
FAYETTEVILLE, AR 72703-4056
Phone number: 479-587-3117
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