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1497390942
RUSSELL IVAN KIMBALL
ABERDEEN, SD
NPI
1497390942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: SD MT11625)
Enumeration Date
2019-11-07
Last Update Date
2019-11-07
Business Address
RUSSELL IVAN KIMBALL LMt
202 S MAIN ST STE 450
ABERDEEN, SD 57401-4114
Phone number: 605-377-5930
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Mailing Address
RUSSELL IVAN KIMBALL LMt
202 S MAIN ST STE 450
ABERDEEN, SD 57401-4114
Phone number: 605-377-5930
Copy
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