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Individual
TRISHA KIMBALL
Active
Individual
TRISHA KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03327091
OH
183500000X
Pharmacist
PS36901
FL
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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