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1396089959
KIM ELAINE HERNANDEZ
SAN DIEGO, CA
NPI
1396089959
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Former Name
KIM ELAINE PALMER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA AT2323)
Enumeration Date
2012-11-20
Last Update Date
2012-11-20
Business Address
-- KIM ELAINE HERNANDEZ PTA
18655 W BERNARDO DR
SAN DIEGO, CA 92127-3002
Phone number: 858-579-1859
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Mailing Address
-- KIM ELAINE HERNANDEZ PTA
18216 MIRASOL DR
SAN DIEGO, CA 92128-1226
Phone number: 858-864-2204
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