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1205561768
KIMBERLY LARA
SACRAMENTO, CA
NPI
1205561768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 75506)
Enumeration Date
2022-07-19
Last Update Date
2022-07-19
Business Address
KIMBERLY LARA LMT
1122 CORPORATE WAY
SACRAMENTO, CA 95831-6124
Phone number: 916-395-5804
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Mailing Address
KIMBERLY LARA LMT
1122 CORPORATE WAY STE 300
SACRAMENTO, CA 95831-6125
Phone number: 916-395-5804
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