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1548396013
KIMBERLY E WOOTTON
ROSWELL, GA
NPI
1548396013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: GA OT003935OT)
Enumeration Date
2007-02-26
Last Update Date
2007-07-09
Business Address
KIMBERLY E WOOTTON OT
345 RIDGE CT
ROSWELL, GA 30076-2620
Phone number: 770-641-9239
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Mailing Address
KIMBERLY E WOOTTON OT
345 RIDGE CT
ROSWELL, GA 30076-2620
Phone number: 770-641-9239
Copy
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