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1023289691
ELISA KIM KWON
ROSEVILLE, CA
NPI
1023289691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 1294)
Enumeration Date
2008-03-21
Last Update Date
2008-03-21
Business Address
-- ELISA KIM KWON OTR/L
10001 WOODCREEK OAKS BLVD #1311
ROSEVILLE, CA 95747-5116
Phone number: 916-749-4432
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Mailing Address
-- ELISA KIM KWON OTR/L
10001 WOODCREEK OAKS BLVD. #1311
ROSEVILLE, CA 95747
Phone number:
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