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1902291933
KIMBERLY LONG
GLENVIEW, IL
NPI
1902291933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160003465)
Enumeration Date
2015-04-06
Last Update Date
2015-04-06
Business Address
-- KIMBERLY LONG
3703 W LAKE AVE STE 200
GLENVIEW, IL 60026-1266
Phone number: 847-998-1188
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Mailing Address
-- KIMBERLY LONG
3703 W LAKE AVE STE 200
GLENVIEW, IL 60026-1266
Phone number: 847-998-1188
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