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1720409212
ANTHONY KIMBROUGH
KALAMAZOO, MI
NPI
1720409212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502002960)
Enumeration Date
2013-12-30
Last Update Date
2013-12-30
Business Address
Mr. ANTHONY KIMBROUGH PTA
2575 N DRAKE RD
KALAMAZOO, MI 49006-1358
Phone number: 269-342-0206
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Mailing Address
Mr. ANTHONY KIMBROUGH PTA
931 OAKLAND DR
KALAMAZOO, MI 49008-1202
Phone number: 810-610-5497
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