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1124078183
KIMBERLY DENISE RUSSELL
SANTA ANA, CA
NPI
1124078183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: CA 1649)
Enumeration Date
2006-05-11
Last Update Date
2018-06-05
Business Address
KIMBERLY DENISE RUSSELL OT
200 W SANTA ANA BLVD 100
SANTA ANA, CA 92701-4134
Phone number: 714-347-0312
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Mailing Address
KIMBERLY DENISE RUSSELL OT
2911 W STONYBROOK DR
ANAHEIM, CA 92804-3931
Phone number: 949-533-1078
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