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1467840264
KYLE CHAMBERLAIN
DIAMOND SPRINGS, CA
NPI
1467840264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-12-31
Last Update Date
2014-12-31
Business Address
-- KYLE CHAMBERLAIN
4250 FOWLER LN STE 204
DIAMOND SPRINGS, CA 95619-9781
Phone number: 530-626-1491
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Mailing Address
-- KYLE CHAMBERLAIN
4250 FOWLER LN STE 204
DIAMOND SPRINGS, CA 95619-9781
Phone number: 530-626-1491
Copy
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