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1548008311
KIMBERLY SUE KINNAN-BRAVO
MEDFORD, OR
NPI
1548008311
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Former Name
KIMBERLY SUE KINNAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
KIMBERLY SUE KINNAN-BRAVO QMHA
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
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Mailing Address
KIMBERLY SUE KINNAN-BRAVO QMHA
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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