KIMBERLY STACIE HANSEN

CHINO, CA
NPI1144331000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- KIMBERLY STACIE HANSEN ATC
13400 PIPELINE AVE
CHINO, CA 91710-4959
Phone number: 909-591-3902
Mailing Address
-- KIMBERLY STACIE HANSEN ATC
2712 S MONTEGO APT F
ONTARIO, CA 91761-0438
Phone number: 909-947-3731
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