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Individual

MRS. CRYSTAL NOEL KIMBALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, RN

Contact information

Practice address
1050 N STATE ST, UKIAH, CA 95482-3414
(707) 662-3111
Mailing address
880 SANEL DR, UKIAH, CA 95482-9604
(530) 601-0314

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95024333
CA

Other

Enumeration date
02/24/2023
Last updated
02/24/2023
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