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1619664497
KIMBERLY RENEE RICKEL
SALEM, OR
NPI
1619664497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 10006273)
Enumeration Date
2023-04-20
Last Update Date
2024-12-11
Business Address
KIMBERLY RENEE RICKEL PMHNP-BC
2110 MISSION ST SE STE 305
SALEM, OR 97302-0038
Phone number: 541-223-5857
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Mailing Address
KIMBERLY RENEE RICKEL PMHNP-BC
2110 MISSION ST SE STE 305
SALEM, OR 97302-0038
Phone number: 541-223-5857
Copy
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