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1720123375
KIMBERLY SUE SIEVE
EAST LANSING, MI
NPI
1720123375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Ms. KIMBERLY SUE SIEVE ATC
DUFFY DAUGHERTY FOOTBALL BUILDING MICHIGAN STATE UNIVERSITY
EAST LANSING, MI 48824
Phone number: 517-353-1655
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Mailing Address
Ms. KIMBERLY SUE SIEVE ATC
3313 W MOUNT HOPE AVE APT 128
LANSING, MI 48911-1206
Phone number: 507-360-1426
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