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Individual
STUART IAIN KIMBALL
Active
Individual
STUART IAIN KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMT
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B201604112
VA
2255A2300X
Athletic Trainer
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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