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1184386930
KIMITHY ROSELLES
STOCKTON, CA
NPI
1184386930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2021-10-08
Last Update Date
2024-11-26
Business Address
KIMITHY ROSELLES
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207-6229
Phone number: 209-269-5587
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Mailing Address
KIMITHY ROSELLES
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207-6229
Phone number: 209-269-5587
Copy
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