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1912772807
TY KELBY KIMBALL
VANCOUVER, WA
NPI
1912772807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00009060)
Enumeration Date
2023-11-20
Last Update Date
2023-11-20
Business Address
TY KELBY KIMBALL DPT, ATC
2621 NE 134TH ST
VANCOUVER, WA 98686-3036
Phone number: 360-504-1022
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Mailing Address
TY KELBY KIMBALL DPT, ATC
128 WALNUT ACRES RD
KELSO, WA 98626-9736
Phone number: 360-751-3237
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