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1639628886
ASSAVUTH KIM
LONG BEACH, CA
NPI
1639628886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-09-29
Last Update Date
2016-09-29
Business Address
-- ASSAVUTH KIM
1471 CHERRY AVENUE
LONG BEACH, CA 90813
Phone number: 562-552-7176
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Mailing Address
-- ASSAVUTH KIM
1471 CHERRY AVE
LONG BEACH, CA 90813-2513
Phone number: 562-552-7176
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