Individual
KIM ANN QUIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 TACOMA ST, GRANTS PASS, OR 97526-9370
(154) 147-6330
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K0000X
—
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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