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1679175046
KIMBERLY DIANE BAUGHMAN
BRADENTON, FL
NPI
1679175046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL3136)
Enumeration Date
2020-11-11
Last Update Date
2020-11-11
Business Address
KIMBERLY DIANE BAUGHMAN LAT
5500 34TH ST W
BRADENTON, FL 34210-3506
Phone number: 941-807-2026
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Mailing Address
KIMBERLY DIANE BAUGHMAN LAT
4515 26TH ST W APT 903
BRADENTON, FL 34207-1217
Phone number: 412-721-5090
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