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Individual

KIMBERLI DIANE HOPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
626 128TH ST SW, SUITE 103B, EVERETT, WA 98204-6368
(425) 513-1881
(425) 775-2225
Mailing address
22307 51ST AVE W, MOUNTLAKE TERRACE, WA 98043-4003
(206) 427-0599

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00020667
WA

Other

Enumeration date
03/13/2012
Last updated
03/13/2012
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