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1487428843
KIMBERLY PINE DOUGHARTY
SANTA FE, NM
NPI
1487428843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
221700000X Art Therapist
(Licence: NM CTB20230922)
Enumeration Date
2023-11-07
Last Update Date
2023-11-07
Business Address
KIMBERLY PINE DOUGHARTY LPAT
4730 BECKNER RD
SANTA FE, NM 87507-3691
Phone number: 505-989-4500
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Mailing Address
KIMBERLY PINE DOUGHARTY LPAT
1009 VELARDE RD
SANTA FE, NM 87507-5126
Phone number: 253-720-4871
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