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1033580196
KIMBERLY ANNE MIZE
MODESTO, CA
NPI
1033580196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-10-15
Last Update Date
2015-10-15
Business Address
Ms. KIMBERLY ANNE MIZE
1235 MCHENRY AVE SUITES A&B
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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Mailing Address
Ms. KIMBERLY ANNE MIZE
1235 MCHENRY AVE SUITES A&B
MODESTO, CA 95350-5370
Phone number: 209-527-4597
Copy
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