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1013155753
KIMBERLY ANDREA BRISCO
LOS ANGELES, CA
NPI
1013155753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-02-03
Last Update Date
2009-02-03
Business Address
-- KIMBERLY ANDREA BRISCO
5436 S BROADWAY
LOS ANGELES, CA 90037-4126
Phone number: 323-234-6261
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Mailing Address
-- KIMBERLY ANDREA BRISCO
645 E 120TH ST
LOS ANGELES, CA 90059-2721
Phone number: 323-779-6707
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