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1104215375
SAMUEL KIM
PACOIMA, CA
NPI
1104215375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-01-12
Last Update Date
2015-01-12
Business Address
SAMUEL KIM
12450 VAN NUYS BLVD SUITE 200
PACOIMA, CA 91331-1391
Phone number: 818-896-1161
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Mailing Address
SAMUEL KIM
12450 VAN NUYS BLVD SUITE 200
PACOIMA, CA 91331-1391
Phone number: 818-896-1161
Copy
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