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1679759740
KIMBERLY LAINE BURGESS
MILWAUKIE, OR
NPI
1679759740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 102554)
Enumeration Date
2008-01-18
Last Update Date
2009-12-22
Business Address
Mrs. KIMBERLY LAINE BURGESS M.S., CCC/SLP
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5200
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Mailing Address
Mrs. KIMBERLY LAINE BURGESS M.S., CCC/SLP
6800 132ND PL SE UNIT E302
NEWCASTLE, WA 98059-9111
Phone number: 817-995-4275
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