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Individual
KIMBERLY ANN WINTAMUTE
Active
Individual
KIMBERLY ANN WINTAMUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, SLP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4419091
NY
235Z00000X
Speech-Language Pathologist
Primary
0147911
NY
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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