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1912315409
ELLIOT KIMBALL
MIDWEST CITY, OK
NPI
1912315409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: OK H082956414)
Enumeration Date
2014-07-28
Last Update Date
2014-07-28
Business Address
-- ELLIOT KIMBALL
316 S MIDWEST BLVD
MIDWEST CITY, OK 73110-4642
Phone number: 405-733-5437
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Mailing Address
-- ELLIOT KIMBALL
4905 WELLMAN WAY
NORMAN, OK 73072-3705
Phone number:
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