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Individual
KIMBERLY ANN DALEY
Active
Individual
KIMBERLY ANN DALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00200700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0718100002
DME
NJ
Enumeration date
07/17/2006
Last updated
02/24/2017
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