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1114174943
KIM RENEE LEPORE
SANTA ROSA, CA
NPI
1114174943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-08-22
Last Update Date
2008-08-22
Business Address
-- KIM RENEE LEPORE
2403 PROFESSIONAL DR SUITE 101
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
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Mailing Address
-- KIM RENEE LEPORE
2403 PROFESSIONAL DR SUITE 101
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
Copy
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