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1003913435
TIMOTHY KEMP AMBROSE
PAHOA, HI
NPI
1003913435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: HI PSY-735)
Enumeration Date
2006-09-20
Last Update Date
2007-07-09
Business Address
Dr. TIMOTHY KEMP AMBROSE Ph.D.
14-4034 PAHOA-KALAPANA ROAD
PAHOA, HI 96778
Phone number: 808-965-9416
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Mailing Address
Dr. TIMOTHY KEMP AMBROSE Ph.D.
PO BOX 1476
PAHOA, HI 96778-1476
Phone number: 808-965-9416
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