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1720798648
KIMBERLY MISNER
NORTH SALT LAKE, UT
NPI
1720798648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: UT 6563197-4202)
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
KIMBERLY MISNER COTA/L
575 CUTLER DR
NORTH SALT LAKE, UT 84054-2953
Phone number: 801-936-0318
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Mailing Address
KIMBERLY MISNER COTA/L
2575 W PINE MEADOW PL
TAYLORSVILLE, UT 84129-1557
Phone number: 801-809-1206
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