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1861114175
DEVON WILLIAM KIMBLE
SANTA ANA, CA
NPI
1861114175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
DEVON WILLIAM KIMBLE
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
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Mailing Address
DEVON WILLIAM KIMBLE
415 E 2ND ST APT 3
TUSTIN, CA 92780-3749
Phone number: 213-858-2156
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