Individual
MS. KIMBERLEY DAWN BOCK TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
3453 NEELY RD, MCGUIRE AFB, NJ 08641
(609) 754-9177
(609) 754-9177
Mailing address
1 HOLLY HILL DR, NEW EGYPT, NJ 08533-2718
(210) 383-0748
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/13/2009
Last updated
10/26/2010
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