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1932483807
KIM HARRIS BAERVELDT
PHOENIX, AZ
NPI
1932483807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AZ 4879)
Enumeration Date
2011-10-10
Last Update Date
2011-10-10
Business Address
KIM HARRIS BAERVELDT MS OTR/L
15002 N 32ND ST
PHOENIX, AZ 85032-4441
Phone number: 602-449-2051
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Mailing Address
KIM HARRIS BAERVELDT MS OTR/L
15002 N 32ND ST
PHOENIX, AZ 85032-4441
Phone number: 602-449-2051
Copy
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