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1922176551
KIM ANN CORNISH
ELK GROVE, CA
NPI
1922176551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY18648)
Enumeration Date
2006-12-01
Last Update Date
2018-08-14
Business Address
KIM ANN CORNISH Ph.D.
8788 ELK GROVE BLVD. BLDG. 2, STE F
ELK GROVE, CA 95624
Phone number: 530-514-1066
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Mailing Address
KIM ANN CORNISH Ph.D.
8698 ELK GROVE BLVD., SUITE 1, PMB 170
ELK GROVE, CA 95624
Phone number: 530-514-1066
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