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1083998132
KIMBERLY LYNNE FAIRES
SAN FRANCISCO, CA
NPI
1083998132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-10-07
Last Update Date
2011-10-07
Business Address
-- KIMBERLY LYNNE FAIRES
440 POTRERO AVE
SAN FRANCISCO, CA 94110-1430
Phone number: 415-487-6700
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Mailing Address
-- KIMBERLY LYNNE FAIRES
440 POTRERO AVE
SAN FRANCISCO, CA 94110-1430
Phone number: 415-487-6700
Copy
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