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1609941962
KIMBERLY MARIE DOUGLAS
CHANDLER, AZ
NPI
1609941962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: AZ SLPL5190)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
MRS. KIMBERLY MARIE DOUGLAS
1625 W GERONIMO ST
CHANDLER, AZ 85224-5616
Phone number: 480-782-0572
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Mailing Address
MRS. KIMBERLY MARIE DOUGLAS
1625 WEST GERONIMO STREET
CHANDLER, AZ 85224
Phone number: 480-782-0572
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