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1982112165
KIMBERLY GREEN
AVON, IN
NPI
1982112165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05011667A)
Enumeration Date
2018-01-22
Last Update Date
2018-01-22
Business Address
KIMBERLY GREEN
9817 E US HIGHWAY 36
AVON, IN 46123-7954
Phone number: 317-860-7677
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Mailing Address
KIMBERLY GREEN
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: 586-350-2644
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