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1558511089
GRACE KIM
LONG BEACH, CA
NPI
1558511089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2008-09-20
Last Update Date
2008-09-29
Business Address
-- GRACE KIM
3605 LONG BEACH BLVD SUITE 110
LONG BEACH, CA 90807-4013
Phone number: 562-427-2006
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Mailing Address
-- GRACE KIM
13908 CARPINTERO AVE
BELLFLOWER, CA 90706-2725
Phone number: 562-427-2006
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