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1316475205
GRACE YE KYUNG JIN
LOS ANGELES, CA
NPI
1316475205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 17475)
Enumeration Date
2017-05-23
Last Update Date
2017-05-23
Business Address
GRACE YE KYUNG JIN
5310 FOUNTAIN AVE
LOS ANGELES, CA 90029-1005
Phone number: 323-461-9961
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Mailing Address
GRACE YE KYUNG JIN
901 WESTCHESTER PL
LOS ANGELES, CA 90019-2005
Phone number: 213-321-7970
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