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1295271724
KHEMARAK KONG
LOS ANGELES, CA
NPI
1295271724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-01-08
Last Update Date
2017-01-08
Business Address
-- KHEMARAK KONG
3879 S WESTERN AVE
LOS ANGELES, CA 90062-1105
Phone number: 323-290-4367
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Mailing Address
-- KHEMARAK KONG
839 GAVIOTA AVE APT B
LONG BEACH, CA 90813-6322
Phone number: 562-230-9564
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