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1508641705
KIMBERLY DAUGHERTY
VAN NUYS, CA
NPI
1508641705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95026843)
Enumeration Date
2023-08-28
Last Update Date
2023-10-24
Business Address
KIMBERLY DAUGHERTY
14541 DELANO ST
VAN NUYS, CA 91411-2820
Phone number: 877-515-8113
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Mailing Address
KIMBERLY DAUGHERTY
4478 9TH ST
RIVERSIDE, CA 92501-3108
Phone number: 951-877-0141
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