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1003405846
KEN SANGBOEM KIM
ORANGE, CA
NPI
1003405846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-01-15
Last Update Date
2021-01-15
Business Address
KEN SANGBOEM KIM
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 949-439-6109
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Mailing Address
KEN SANGBOEM KIM
PO BOX 17393
IRVINE, CA 92623-7393
Phone number: 949-439-6109
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