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1639839418
KIMBERLY TA
SAN DIEGO, CA
NPI
1639839418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95018697)
Enumeration Date
2021-12-21
Last Update Date
2024-08-01
Business Address
Ms. KIMBERLY TA
16745 W BERNARDO DR STE 240
SAN DIEGO, CA 92127-1908
Phone number: 858-592-2000
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Mailing Address
Ms. KIMBERLY TA
13458 TREASURE WAY
CHINO HILLS, CA 91709-1223
Phone number: 909-720-4805
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