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1972382943
KIMBERLY BACON
OCEANSIDE, CA
NPI
1972382943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 111508)
Enumeration Date
2023-09-27
Last Update Date
2023-09-27
Business Address
KIMBERLY BACON
401 WILSHIRE RD
OCEANSIDE, CA 92057-2904
Phone number: 858-442-1463
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Mailing Address
KIMBERLY BACON
401 WILSHIRE RD
OCEANSIDE, CA 92057-2904
Phone number:
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