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1134453038
KIMBERLY DOUGLASS
FRESNO, CA
NPI
1134453038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2009-09-24
Last Update Date
2016-07-28
Business Address
KIMBERLY DOUGLASS
611 E BELMONT AVE
FRESNO, CA 93701-1502
Phone number: 559-251-4800
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Mailing Address
KIMBERLY DOUGLASS
7485 N PALM AVE STE 103
FRESNO, CA 93711-5764
Phone number: 559-221-8100
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