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1467775098
KIMBERLY KAY BUSH
WASILLA, AK
NPI
1467775098
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Former Name
KIMBERLY KAY AHRENS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AK 678)
Enumeration Date
2010-03-10
Last Update Date
2010-03-10
Business Address
-- KIMBERLY KAY BUSH PTA
650 N SHORELINE DR STE 101
WASILLA, AK 99654-6677
Phone number: 907-376-6363
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Mailing Address
-- KIMBERLY KAY BUSH PTA
650 N SHORELINE DR STE 101
WASILLA, AK 99654-6677
Phone number: 907-376-6363
Copy
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