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1154758217
JENNIFER T KIM
LOS ANGELES, CA
NPI
1154758217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-10-03
Last Update Date
2013-10-03
Business Address
-- JENNIFER T KIM
4099 N MISSION RD
LOS ANGELES, CA 90032-2554
Phone number: 323-221-1746
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Mailing Address
-- JENNIFER T KIM
4099 N MISSION RD
LOS ANGELES, CA 90032-2554
Phone number: 323-221-1746
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