KIMBERLY A. DIVINCENZO

GLASTONBURY, CT
NPI1417914854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  000561-1)
Enumeration Date2006-04-28
Last Update Date2007-07-08
Business Address
Miss KIMBERLY A. DIVINCENZO ATC
2345 MAIN ST
GLASTONBURY, CT 06033-2211
Phone number: 860-633-5572
Mailing Address
Miss KIMBERLY A. DIVINCENZO ATC
318 WELLINGTON RD
BUFFALO, NY 14216-1915
Phone number: 716-838-5892
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