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1265743587
ILENE KONG
SHERMAN OAKS, CA
NPI
1265743587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 33614)
Enumeration Date
2010-07-01
Last Update Date
2010-07-01
Business Address
ILENE KONG D.P.T.
5230 VESPER AVE APT 6
SHERMAN OAKS, CA 91411-4012
Phone number: 909-763-9330
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Mailing Address
ILENE KONG D.P.T.
5230 VESPER AVE APT 6
SHERMAN OAKS, CA 91411-4012
Phone number: 909-763-9330
Copy
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