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1114034055
KIMBERLY ANN FODRAN
ANAHEIM, CA
NPI
1114034055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A96275)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
KIMBERLY ANN FODRAN M.D.
411 N LAKEVIEW AVE MEDICAL STAFF SERVICES
ANAHEIM, CA 92807-3028
Phone number: 714-279-5616
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Mailing Address
KIMBERLY ANN FODRAN M.D.
PO BOX 41637
LONG BEACH, CA 90853-1637
Phone number:
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