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1760686307
KIMBERLY GRACE
MODESTO, CA
NPI
1760686307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-14
Last Update Date
2007-07-08
Business Address
Ms. KIMBERLY GRACE
948 11TH ST SUITE 20
MODESTO, CA 95354-2308
Phone number: 209-579-1151
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Mailing Address
Ms. KIMBERLY GRACE
948 11TH ST SUITE 20
MODESTO, CA 95354-2308
Phone number: 209-579-1151
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