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1902085566
KIMBERLY KD RUSSELL
CHICAGO, IL
NPI
1902085566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056008127)
Enumeration Date
2007-10-31
Last Update Date
2012-09-12
Business Address
Dr. KIMBERLY KD RUSSELL OTR/L
1812 N SPUALDING AVE
CHICAGO, IL 60647
Phone number: 312-965-7633
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Mailing Address
Dr. KIMBERLY KD RUSSELL OTR/L
1812 N SPUALDING AVE
CHICAGO, IL 60647
Phone number: 312-965-7633
Copy
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