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Individual

MRS. VIVIAN KIMBLE WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3724 HERMOSA DR, TROTWOOD, OH 45416-1120
(937) 723-9781
Mailing address
3724 HERMOSA DR, TROTWOOD, OH 45416-1120
(937) 723-9781

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
10/02/2020
Last updated
10/02/2020
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