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1568111490
LOGAN XENARA KIM
LOS ANGELES, CA
NPI
1568111490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-18
Last Update Date
2022-03-18
Business Address
LOGAN XENARA KIM
815 N EL CENTRO AVE
LOS ANGELES, CA 90038-3805
Phone number: 323-463-2119
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Mailing Address
LOGAN XENARA KIM
815 N EL CENTRO AVE
LOS ANGELES, CA 90038-3805
Phone number:
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