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1730473885
KIMBERLY LARSON
OAKLAND, CA
NPI
1730473885
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Former Name
KIMBERLY BOUCHARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: CA A148236)
Enumeration Date
2011-06-07
Last Update Date
2019-10-07
Business Address
KIMBERLY LARSON MD
747 52ND ST
OAKLAND, CA 94609
Phone number: 510-428-3276
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Mailing Address
KIMBERLY LARSON MD
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-3276
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