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1558056986
KIM WIZEMAN
KILLEEN, TX
NPI
1558056986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 101990)
Enumeration Date
2023-04-11
Last Update Date
2023-04-11
Business Address
KIM WIZEMAN
902 N 10TH ST
KILLEEN, TX 76541-4829
Phone number: 254-336-6960
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Mailing Address
KIM WIZEMAN
902 N 10TH ST
KILLEEN, TX 76541-4829
Phone number: 254-336-6960
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