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1902320922
KIMBERLY SUZANNE MANZANARES-MORA
COVINA, CA
NPI
1902320922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2017-08-01
Last Update Date
2022-07-21
Business Address
KIMBERLY SUZANNE MANZANARES-MORA
1359 NORTH GRAND AVENUE
COVINA, CA 91724
Phone number: 626-430-2878
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Mailing Address
KIMBERLY SUZANNE MANZANARES-MORA
1359 N GRAND AVE
COVINA, CA 91724-1016
Phone number: 626-430-2878
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