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1710548268
KIMBERLY JEAN EDWARDS
SHELBYVILLE, IL
NPI
1710548268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.005186)
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
Mrs. KIMBERLY JEAN EDWARDS PTA
2116 W SOUTH 3RD ST
SHELBYVILLE, IL 62565-9102
Phone number: 217-774-2128
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Mailing Address
Mrs. KIMBERLY JEAN EDWARDS PTA
921 S MADISON ST
SULLIVAN, IL 61951-2323
Phone number: 217-273-0282
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