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NPI Profile for KIMBERLY M ANDERSON in DALLAS, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
1041S0200X |
| NPI # | 1649396797 |
|
| Status | Active | |
| Credentials | B.S. | |
| Entity | Individual | |
| Enumeration date | 03/21/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KIMBERLY M ANDERSON
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KIMBERLY M ANDERSON, B.S.