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1881320703
KIMBERLY SHANI ROOT
ARDMORE, OK
NPI
1881320703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-07-25
Last Update Date
2022-07-27
Business Address
MRS. KIMBERLY SHANI ROOT
1301 KIOWA ST
ARDMORE, OK 73401-2280
Phone number: 580-670-3117
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Mailing Address
MRS. KIMBERLY SHANI ROOT
41247 HIGHWAY 29
WYNNEWOOD, OK 73098-9116
Phone number: 580-670-3117
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