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1548089873
COLLIN KIMBALL
KETCHIKAN, AK
NPI
1548089873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-10-03
Last Update Date
2024-10-03
Business Address
COLLIN KIMBALL
30 MOUNTAIN ASH HTS
KETCHIKAN, AK 99901-9531
Phone number: 907-220-6092
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Mailing Address
COLLIN KIMBALL
30 MOUNTAIN ASH HTS
KETCHIKAN, AK 99901-9531
Phone number: 907-220-6092
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