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1558039669
DEREK KO
LOS ANGELES, CA
NPI
1558039669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-09-02
Last Update Date
2021-09-02
Business Address
DEREK KO
515 COLUMBIA AVE # 200
LOS ANGELES, CA 90017-1209
Phone number: 213-249-9388
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Mailing Address
DEREK KO
515 COLUMBIA AVE # 200
LOS ANGELES, CA 90017-1209
Phone number: 213-249-9388
Copy
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