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1083731459
JENNIFER MIYAMOTO
LOS ANGELES, CA
NPI
1083731459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 26558)
Enumeration Date
2007-03-23
Last Update Date
2011-11-10
Business Address
-- JENNIFER MIYAMOTO
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-432-5185
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Mailing Address
-- JENNIFER MIYAMOTO
1929 E APPLETON ST APT 6
LONG BEACH, CA 90802-3923
Phone number: 562-673-7454
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