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1245094275
KIMBERLY VACA
PASADENA, CA
NPI
1245094275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1418541023)
Enumeration Date
2024-02-09
Last Update Date
2024-02-09
Business Address
KIMBERLY VACA
1230 N MARENGO AVE
PASADENA, CA 91103-2217
Phone number: 626-797-1124
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Mailing Address
KIMBERLY VACA
5949 E ECHO ST
LOS ANGELES, CA 90042-4223
Phone number:
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