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1174049928
EDWARD KIM
LOS ANGELES, CA
NPI
1174049928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 14541)
Enumeration Date
2017-08-14
Last Update Date
2017-08-14
Business Address
EDWARD KIM OTR/L
5425 POMONA BLVD
LOS ANGELES, CA 90022-1716
Phone number: 323-728-0411
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Mailing Address
EDWARD KIM OTR/L
1230 S OLIVE ST APT 312
LOS ANGELES, CA 90015-4173
Phone number: 562-417-9263
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