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1881461317
KIMBERLY ANNE WALLACE
CHESTER, NJ
NPI
1881461317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NJ 46TR00249900)
Enumeration Date
2023-12-05
Last Update Date
2023-12-05
Business Address
KIMBERLY ANNE WALLACE
95 W MAIN ST
CHESTER, NJ 07930-2487
Phone number: 908-879-7067
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Mailing Address
KIMBERLY ANNE WALLACE
35 WEHRLI RD
LONG VALLEY, NJ 07853-3418
Phone number: 908-510-4522
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