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1902008097
KIMBERLY A SMITH
POMONA, CA
NPI
1902008097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA S0501071320)
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
-- KIMBERLY A SMITH
558 N TOWNE AVE
POMONA, CA 91767-4826
Phone number: 909-622-2273
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Mailing Address
-- KIMBERLY A SMITH
PO BOX 335
ANGELUS OAKS, CA 92305-0335
Phone number: 909-389-2452
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