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1629110408
KIMBERLEY WILSON KIDD
REDMOND, WA
NPI
1629110408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL00001796)
Enumeration Date
2007-02-12
Last Update Date
2007-10-18
Business Address
-- KIMBERLEY WILSON KIDD L.L.
2700 152ND AVE NE
REDMOND, WA 98052-5543
Phone number: 425-883-5693
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Mailing Address
-- KIMBERLEY WILSON KIDD L.L.
PO BOX 34584
SEATTLE, WA 98124-1584
Phone number: 509-241-7349
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