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1790063931
KIMBERLY EVE DESOUTELS
SALT LAKE CITY, UT
NPI
1790063931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 107520-4201)
Enumeration Date
2011-07-21
Last Update Date
2011-07-21
Business Address
Miss KIMBERLY EVE DESOUTELS OTR/L
100 N. MARIO CAPECCHI DRIVE
SALT LAKE CITY, UT 84113
Phone number: 801-662-4949
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Mailing Address
Miss KIMBERLY EVE DESOUTELS OTR/L
P.O. BOX 31080
SALT LAKE CITY, UT 84130
Phone number: 801-662-4949
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