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1760984371
KENNETH TOM
LOS ANGELES, CA
NPI
1760984371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP7188)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
KENNETH TOM SLP
1450 SAN PABLO ST STE 5100
LOS ANGELES, CA 90033-4500
Phone number: 323-442-5790
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Mailing Address
KENNETH TOM SLP
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-5790
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