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1083112221
KIMBERLY ANN BRASIL
PENNGROVE, CA
NPI
1083112221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA HAP669)
Enumeration Date
2018-01-23
Last Update Date
2018-01-23
Business Address
KIMBERLY ANN BRASIL
9663 OLD REDWOOD HWY
PENNGROVE, CA 94951-9610
Phone number: 707-548-2789
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Mailing Address
KIMBERLY ANN BRASIL
9663 OLD REDWOOD HWY
PENNGROVE, CA 94951-9610
Phone number:
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