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1437294998
KIMBERLY WICAL
WACO, TX
NPI
1437294998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT06940)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
-- KIMBERLY WICAL
3000 HERRING AVE
WACO, TX 76708-3239
Phone number: 254-202-5631
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Mailing Address
-- KIMBERLY WICAL
PO BOX 20487
WACO, TX 76702-0487
Phone number: 254-202-5631
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