Individual
MISS KIMBERLY NICOLE MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1105 E HARRIS AVE, GREENVILLE, IL 62246-2221
(618) 664-4600
Mailing address
PO BOX 32, GREENVILLE, IL 62246-0032
(618) 918-8151
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
IL
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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