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1215786421
IMMANUEL KING
HONOLULU, HI
NPI
1215786421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: HI OTA-314-0)
Enumeration Date
2024-05-20
Last Update Date
2024-05-20
Business Address
IMMANUEL KING COTA
5113 MAUNALANI CIR
HONOLULU, HI 96816-4019
Phone number: 808-695-2860
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Mailing Address
IMMANUEL KING COTA
1806 PALOLO AVE APT D
HONOLULU, HI 96816-2945
Phone number: 808-936-4851
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