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1841728722
TIMOTHY KWONG
SAN DIEGO, CA
NPI
1841728722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-05-23
Last Update Date
2017-05-23
Business Address
TIMOTHY KWONG ATC
3721 HERMAN AVE
SAN DIEGO, CA 92104-3712
Phone number: 626-340-3402
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Mailing Address
TIMOTHY KWONG ATC
3721 HERMAN AVE
SAN DIEGO, CA 92104-3712
Phone number:
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