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1124483797
PATRICK IMAMURA
GARDENA, CA
NPI
1124483797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ASW63238)
Enumeration Date
2015-12-23
Last Update Date
2015-12-23
Business Address
-- PATRICK IMAMURA
108 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
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Mailing Address
-- PATRICK IMAMURA
13510 DROXFORD ST
CERRITOS, CA 90703-6332
Phone number: 562-405-9590
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