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Individual

KIMBERLY ANTHONY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
270 E STATE ST, SUITE 245, ALLIANCE, OH 44601-4957
(330) 596-6520
Mailing address
270 E STATE ST STE 245, ALLIANCE, OH 44601-4369

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A01026
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0106582
OH
Enumeration date
12/03/2013
Last updated
10/03/2014
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