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1912299538
KIMBERLY MIRO
GREENVILLE, SC
NPI
1912299538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XG0600X Occupational Therapist, Gerontology
(Licence: SC 1326A)
Enumeration Date
2011-05-15
Last Update Date
2011-05-15
Business Address
-- KIMBERLY MIRO COTA
850 E BUTLER RD
GREENVILLE, SC 29607-5842
Phone number: 864-675-6421
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Mailing Address
-- KIMBERLY MIRO COTA
2 BELLSPRING CT
SIMPSONVILLE, SC 29680-7063
Phone number: 864-757-1598
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