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1265278774
SEAN HENGLY KONG
LOS ANGELES, CA
NPI
1265278774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: CA 95254198)
Enumeration Date
2024-07-03
Last Update Date
2024-07-03
Business Address
SEAN HENGLY KONG
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 424-454-6001
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Mailing Address
SEAN HENGLY KONG
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 424-454-6001
Copy
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