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1487368692
KIMBERLY GUMP
COSTA MESA, CA
NPI
1487368692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2023-01-11
Last Update Date
2023-07-18
Business Address
KIMBERLY GUMP
275 BAKER ST STE A
COSTA MESA, CA 92626-4566
Phone number: 714-361-6760
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Mailing Address
KIMBERLY GUMP
400 MERRIMAC WAY APT 8
COSTA MESA, CA 92626-6150
Phone number: 714-307-6590
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