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1174306872
CHANGHO KIM
GLENDALE, CA
NPI
1174306872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
CHANGHO KIM
333 W LORAINE ST APT 106
GLENDALE, CA 91202-4423
Phone number: 661-565-5932
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Mailing Address
CHANGHO KIM
333 W LORAINE ST APT 106
GLENDALE, CA 91202-4423
Phone number: 661-565-5932
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