Individual
MS. KIMBERLY LOUISE BUMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 FROST ST, OXFORD, NC 27565-3441
(191) 969-3796
(191) 969-3696
Mailing address
115 FROST ST, OXFORD, NC 27565-3441
(191) 969-3796
(191) 969-3696
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-039-042
NC
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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