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Kimberly Ann Page

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NPI Number Detailed Information

Provider Information:

Name: Kimberly Ann Page
Gender: F
Provider License Number If Given: G64229

NPI Information:

NPI: 1215930250
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 9/7/2018

Provider Business Mailing Address:

Address: 1388 COURT ST STE H
Redding, CA 96001
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 1388 COURT ST SUITE H
Redding, CA 96001
Phone Number: 5302462207
Fax Number: 5302436835

Provider Taxonomy:

Primary: 207T00000X
Secondary (if any):
State: CA

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