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1437816469
MIRANDA CRYSTA RENEE KIMBALL
KLAMATH FALLS, OR
NPI
1437816469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2021-11-24
Last Update Date
2024-05-31
Business Address
MIRANDA CRYSTA RENEE KIMBALL
725 WASHBURN WAY
KLAMATH FALLS, OR 97603-3648
Phone number: 541-883-1030
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Mailing Address
MIRANDA CRYSTA RENEE KIMBALL
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
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