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1871258483
KIMBERLY CLARKE
VALLEY STREAM, NY
NPI
1871258483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2021-11-08
Last Update Date
2021-11-08
Business Address
KIMBERLY CLARKE
85 LOTUS OVAL S
VALLEY STREAM, NY 11581-2331
Phone number: 631-796-8348
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Mailing Address
KIMBERLY CLARKE
85 LOTUS OVAL S
VALLEY STREAM, NY 11581-2331
Phone number:
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