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1710282967
KIMBERLY ANN TANCOS
CEDAR LAKE, IN
NPI
1710282967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2011-01-19
Last Update Date
2011-01-19
Business Address
Mrs. KIMBERLY ANN TANCOS MS
10915 W 133RD AVE
CEDAR LAKE, IN 46303-9706
Phone number: 219-390-7498
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Mailing Address
Mrs. KIMBERLY ANN TANCOS MS
1507 WESTCHESTER AVE
CHESTERTON, IN 46304-2852
Phone number: 219-241-6482
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