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1619616034
JAESUNG SU KIM
LONG BEACH, CA
NPI
1619616034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-02
Last Update Date
2022-06-02
Business Address
JAESUNG SU KIM
3491 ELM AVE
LONG BEACH, CA 90807-4430
Phone number: 562-999-7788
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Mailing Address
JAESUNG SU KIM
5850 GRANITE PKWY STE 600
PLANO, TX 75024-6753
Phone number: 818-345-2345
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