BEGIN:VCARD VERSION:3.0 FN:James Kirker N:Kirker;James;;; TITLE:Marriage & Family Therapist TEL;TYPE=WORK,VOICE:+18774960450 URL:https://www.gale.care/providers/ca/san-diego/james-kirker-1972157568 NOTE:NPI 1972157568. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1972157568 END:VCARD