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1902265127
KIMBERLY SUE FUDGE
OCEANSIDE, CA
NPI
1902265127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15060812)
Enumeration Date
2016-02-16
Last Update Date
2017-01-24
Business Address
-- KIMBERLY SUE FUDGE RADT-II
3230 WARING CT STE A
OCEANSIDE, CA 92056-4509
Phone number: 760-305-7528
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Mailing Address
-- KIMBERLY SUE FUDGE RADT-II
3230 WARING CT STE A
OCEANSIDE, CA 92056-4509
Phone number: 760-305-7528
Copy
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