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1891826798
KIMBERLY ANN VIDRINE
LAKE CHARLES, LA
NPI
1891826798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: LA 4427)
Enumeration Date
2007-03-09
Last Update Date
2007-07-09
Business Address
MISS KIMBERLY ANN VIDRINE M.S., CCC-SLP
227 HEATHER ST
LAKE CHARLES, LA 70605-6505
Phone number: 337-479-2382
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Mailing Address
MISS KIMBERLY ANN VIDRINE M.S., CCC-SLP
227 HEATHER ST
LAKE CHARLES, LA 70605-6505
Phone number: 337-479-2382
Copy
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