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Individual

MS. CHANTEL KIMBALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, OTC

Contact information

Practice address
700 LAKE AVE, SUITE #1, MANCHESTER, NH 03103-2734
(603) 669-5454
(603) 627-7638
Mailing address
12 S BROWNING CT, PEMBROKE, NH 03275-1329
(603) 321-7803
(603) 627-7638

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
906
MA

Other

Enumeration date
01/18/2007
Last updated
07/08/2007
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