Provider Information for 1740559665
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ANGELA IRVING KIRKMAN MSW
Sex: Female
NPI: 1740559665
Last Updated: 2011-12-21
Certification Date:
Certification Date:
Details
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| NPI | 1740559665 | ||||||||
| Enumeration Date | 2011-12-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 18302 IRVINE BLVD SUITE 300 TUSTIN, CA 92780-3435 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 18302 IRVINE BLVD SUITE 300 TUSTIN, CA 92780-3435 United States Phone: 714-957-1004 | Fax: | ||||||||
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