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Individual

MR. LOUIS LEE KIMBRIEL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6195
Mailing address
3195 CHATELAIN PL, SAN DIEGO, CA 92123-2041
(904) 415-7659

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
07/03/2013
Last updated
07/03/2013
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