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1740756691
LEE KIMBALL
SAN ANDREAS, CA
NPI
1740756691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-18
Last Update Date
2018-10-18
Business Address
LEE KIMBALL
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-754-6734
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Mailing Address
LEE KIMBALL
18717 MILL VILLA RD SPC 126
JAMESTOWN, CA 95327-9353
Phone number: 209-352-1933
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