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1750904074
KIMBERLY L BAKKER
GALLUP, NM
NPI
1750904074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-05-20
Last Update Date
2020-05-20
Business Address
KIMBERLY L BAKKER DPT
510 W MALONEY AVE STE C
GALLUP, NM 87301-5489
Phone number: 505-488-2615
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Mailing Address
KIMBERLY L BAKKER DPT
1334 S DIVISION ST APT 4
MOSES LAKE, WA 98837-2498
Phone number: 509-793-4386
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