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1598300147
KIM UTLEY
WINNSBORO, TX
NPI
1598300147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2096525)
Enumeration Date
2019-11-07
Last Update Date
2019-11-07
Business Address
KIM UTLEY PTA
719 W COKE RD
WINNSBORO, TX 75494-3011
Phone number: 903-342-3987
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Mailing Address
KIM UTLEY PTA
175 PRIVATE ROAD 7952
MINEOLA, TX 75773-5231
Phone number:
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