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1811510043
MICHAEL J KODRICH
HUNTINGTON BEACH, CA
NPI
1811510043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA L9658)
Enumeration Date
2020-05-21
Last Update Date
2022-04-01
Business Address
Mr. MICHAEL J KODRICH electrologist
15051 GOLDENWEST ST
HUNTINGTON BEACH, CA 92647-2710
Phone number: 714-642-4622
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Mailing Address
Mr. MICHAEL J KODRICH electrologist
6131 MONTECITO DR
HUNTINGTON BEACH, CA 92647-3222
Phone number: 714-383-0983
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