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1043843816
KIMMY PHAN
GARDEN GROVE, CA
NPI
1043843816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 19050)
Enumeration Date
2020-02-19
Last Update Date
2021-11-01
Business Address
KIMMY PHAN
11911 WEST ST
GARDEN GROVE, CA 92840-2552
Phone number: 714-467-9816
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Mailing Address
KIMMY PHAN
11911 WEST ST
GARDEN GROVE, CA 92840-2552
Phone number: 714-467-9816
Copy
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