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1184866899
KIM KOEHLER RUSSELL
SAN DIEGO, CA
NPI
1184866899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XH1200X Occupational Therapist, Hand
(Licence: CA 9543)
Enumeration Date
2009-03-26
Last Update Date
2009-03-26
Business Address
Mrs. KIM KOEHLER RUSSELL OTR/L
3666 KEARNY VILLA RD SUITE 308
SAN DIEGO, CA 92123-1951
Phone number: 858-505-5460
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Mailing Address
Mrs. KIM KOEHLER RUSSELL OTR/L
715 COLIMA STREET
LA JOLLA, CA 92037
Phone number: 619-894-9398
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