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1750540605
BOMI KOCH
ROSEVILLE, CA
NPI
1750540605
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Former Name
KWW BUM CHANG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A106739)
Enumeration Date
2008-06-05
Last Update Date
2019-02-04
Business Address
BOMI KOCH
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661-3866
Phone number: 916-774-8500
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Mailing Address
BOMI KOCH
10470 OLD PLACERVILLE RD
SACRAMENTO, CA 95827-2539
Phone number: 800-470-0071
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