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1356360721
CAROL MARIE BURCH
STOCKTON, CA
NPI
1356360721
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Former Name
CAROL M KIMBALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G76903)
Enumeration Date
2006-07-18
Last Update Date
2021-06-16
Business Address
Dr. CAROL MARIE BURCH MD
3132 W MARCH LN STE 5
STOCKTON, CA 95219-2354
Phone number: 209-475-5500
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Mailing Address
Dr. CAROL MARIE BURCH MD
3400 DATA DR ATTN CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670
Phone number:
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