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Individual

SAMANTHA JO KIMPEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
208 COLUMBUS ST, HICKSVILLE, OH 43526-1250
(419) 542-5669
Mailing address
208 COLUMBUS ST, HICKSVILLE, OH 43526-1250
(419) 542-5669

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.023917
OH

Other

Enumeration date
06/13/2019
Last updated
06/13/2019
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