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1639622921
KIMBERLIE AFFONSO
FORT LEWIS, WA
NPI
1639622921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2016-08-03
Last Update Date
2016-08-03
Business Address
-- KIMBERLIE AFFONSO
9119 MIL PARK AVE.
FORT LEWIS, WA 98433
Phone number: 253-966-9960
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Mailing Address
-- KIMBERLIE AFFONSO
9119 MIL PARK AVE.
FORT LEWIS, WA 98433
Phone number: 253-966-9960
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