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Individual
KIMBERLY CICCOLELLI
Active
Individual
KIMBERLY CICCOLELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.,A.S.P.T.
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
140230
OH
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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