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1336278993
BOSSEBA KONG
MODESTO, CA
NPI
1336278993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 1041C0700X)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
-- BOSSEBA KONG LCS 16696
1100 KANSAS AVE SUITE A
MODESTO, CA 95351-1596
Phone number: 209-558-7475
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Mailing Address
-- BOSSEBA KONG LCS 16696
1100 KANSAS AVE SUITE A
MODESTO, CA 95351-1596
Phone number: 209-558-7475
Copy
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