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1407246978
ELIJAH KIMBLE
LONG BEACH, CA
NPI
1407246978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2015-02-04
Last Update Date
2015-02-04
Business Address
-- ELIJAH KIMBLE
2241 W WILLIAMS ST
LONG BEACH, CA 90810-3652
Phone number: 562-388-8183
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Mailing Address
-- ELIJAH KIMBLE
2241 W WILLIAMS ST
LONG BEACH, CA 90810-3652
Phone number: 562-388-8183
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