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1063669489
KIMBERLAND DALE VANHORN
CLEARLAKE, CA
NPI
1063669489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-V0808221354)
Enumeration Date
2008-08-27
Last Update Date
2008-08-27
Business Address
-- KIMBERLAND DALE VANHORN RASI
6885 OLD HIGHWAY 53
CLEARLAKE, CA 95422-6470
Phone number: 707-995-3235
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Mailing Address
-- KIMBERLAND DALE VANHORN RASI
PO BOX 6470
CLEARLAKE, CA 95422-6470
Phone number: 707-995-3235
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