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Individual
KIMBERLY RAE DURAN
Active
Individual
KIMBERLY RAE DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
PA15500
CA
363A00000X
Physician Assistant
Primary
PA15500
CA
Other
Enumeration date
09/11/2006
Last updated
01/03/2022
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