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1982905857
JENNIFER KIMBROUGH
RIDGELAND, MS
NPI
1982905857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MS OT2453)
Enumeration Date
2010-11-09
Last Update Date
2010-11-09
Business Address
-- JENNIFER KIMBROUGH
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
-- JENNIFER KIMBROUGH
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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