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1518306745
STACY LYNN KIMMINS
BERKELEY, CA
NPI
1518306745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-06-20
Last Update Date
2013-06-20
Business Address
Ms. STACY LYNN KIMMINS
2484 SHATTUCK AVE
BERKELEY, CA 94704-2076
Phone number: 510-704-7480
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Mailing Address
Ms. STACY LYNN KIMMINS
2484 SHATTUCK AVE STE 210
BERKELEY, CA 94704-2076
Phone number: 510-704-7480
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