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1083470736
KIM TAKAYO ELLIOTT
SAN DIEGO, CA
NPI
1083470736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
(Licence: CA 33042)
Enumeration Date
2024-02-21
Last Update Date
2024-02-21
Business Address
KIM TAKAYO ELLIOTT CTRS
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 619-920-1807
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Mailing Address
KIM TAKAYO ELLIOTT CTRS
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 619-920-1807
Copy
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