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1659945756
KIMBERLY D DIDIER
VAN BUREN, AR
NPI
1659945756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4631)
Enumeration Date
2021-05-14
Last Update Date
2021-05-14
Business Address
KIMBERLY D DIDIER PTA
2010 CHESTNUT ST
VAN BUREN, AR 72956-5321
Phone number: 479-652-3086
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Mailing Address
KIMBERLY D DIDIER PTA
2010 CHESTNUT ST
VAN BUREN, AR 72956-5321
Phone number: 479-459-0035
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