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1609344522
KIMBERLY KIDANE
ELK GROVE, CA
NPI
1609344522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
KIMBERLY KIDANE
2366 MARITIME DR
ELK GROVE, CA 95758-3639
Phone number: 916-347-4041
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Mailing Address
KIMBERLY KIDANE
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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