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1417245127
CAMILLE KIMMERLY
STOCKTON, CA
NPI
1417245127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-07-14
Last Update Date
2014-10-08
Business Address
Ms. CAMILLE KIMMERLY
8626 LOWER SACRAMENTO RD
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
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Mailing Address
Ms. CAMILLE KIMMERLY
9522 DURHAM CT
STOCKTON, CA 95209-4014
Phone number:
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