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1952754608
KIMBERLY WAITE
LAWTON, OK
NPI
1952754608
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Former Name
KIMBERLY NICOLE CHARLES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-07-18
Last Update Date
2016-07-18
Business Address
-- KIMBERLY WAITE
1401 SW B AVE APT 7-24
LAWTON, OK 73501-3828
Phone number: 580-340-3950
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Mailing Address
-- KIMBERLY WAITE
1401 SW B AVE APT 7-24
LAWTON, OK 73501-3828
Phone number: 580-340-3950
Copy
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