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1790709335
KENNETH L SUBOTNIK
LOS ANGELES, CA
NPI
1790709335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY12770)
Enumeration Date
2006-07-27
Last Update Date
2007-07-09
Business Address
Dr. KENNETH L SUBOTNIK Ph.D.
10850 WILSHIRE BLVD SUITE 240
LOS ANGELES, CA 90024-4305
Phone number: 310-824-4600
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Mailing Address
Dr. KENNETH L SUBOTNIK Ph.D.
300 UCLA MEDICAL PLZ ROOM 2240
LOS ANGELES, CA 90095-8346
Phone number: 310-824-4600
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