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1700838646
MICHAEL JOHN KIMBALL
COSTA MESA, CA
NPI
1700838646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: CA 523970)
Enumeration Date
2006-05-17
Last Update Date
2023-03-07
Business Address
MR. MICHAEL JOHN KIMBALL NP
2501 HARBOR BLVD
COSTA MESA, CA 92626-6143
Phone number: 714-957-5000
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Mailing Address
MR. MICHAEL JOHN KIMBALL NP
1600 9TH STREET ROOM 205 MAILSTOP 2-3
SACRAMENTO, CA 95814-6414
Phone number: 916-654-2431
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