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1780032110
KIM VIVERETTE
PHILADELPHIA, MS
NPI
1780032110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT633)
Enumeration Date
2016-05-26
Last Update Date
2016-05-26
Business Address
KIM VIVERETTE
1001 HOLLAND AVE
PHILADELPHIA, MS 39350-2161
Phone number: 601-663-1484
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Mailing Address
KIM VIVERETTE
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
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