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1134544133
KIM EGAN
AUBURN, CA
NPI
1134544133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-02-27
Last Update Date
2014-02-27
Business Address
-- KIM EGAN
12183 LOCKSLEY LN
AUBURN, CA 95602-2004
Phone number: 530-885-1961
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Mailing Address
-- KIM EGAN
PO BOX 6028
AUBURN, CA 95604-6028
Phone number: 530-878-5166
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