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1982355285
KIMBERLY FRASER
DANVILLE, IL
NPI
1982355285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160006488)
Enumeration Date
2022-01-18
Last Update Date
2022-01-18
Business Address
KIMBERLY FRASER PTA
620 WARRINGTON AVE
DANVILLE, IL 61832-5446
Phone number: 217-444-2842
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Mailing Address
KIMBERLY FRASER PTA
803 MILL RD
GEORGETOWN, IL 61846-6005
Phone number: 217-553-8628
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