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1336790203
DEISY KIM
ANAHEIM, CA
NPI
1336790203
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Former Name
DEISY HERNANDEZ CRISTOBAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA APCC6763)
Enumeration Date
2019-09-23
Last Update Date
2022-09-29
Business Address
DEISY KIM MA
511 N BROOKHURST ST STE 200
ANAHEIM, CA 92801-5229
Phone number: 714-780-0750
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Mailing Address
DEISY KIM MA
PO BOX 10536
SANTA ANA, CA 92711-0536
Phone number:
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