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Organization
KIMBERLEY GALLET DE ST AURIN
Active
Organization
KIMBERLEY GALLET DE ST AURIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY GALLET DE ST AURIN (ITDS)
(954) 309-6490
Entity
Organization
Contact information
Practice address
2817 NW 41ST PL, GAINESVILLE, FL 32605-1543
(954) 309-6490
Mailing address
2817 NW 41ST PL, GAINESVILLE, FL 32605-1543
(954) 309-6490
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NULL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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