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1215713748
JAE YOON IM
ENCINO, CA
NPI
1215713748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT23705)
Enumeration Date
2023-08-31
Last Update Date
2023-09-04
Business Address
JAE YOON IM
15928 VENTURA BLVD STE 218
ENCINO, CA 91436-4413
Phone number: 818-518-9709
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Mailing Address
JAE YOON IM
940 ELDEN AVE UNIT 302
LOS ANGELES, CA 90006-5845
Phone number: 310-386-7768
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