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1861618027
KIM EDWARD NISSEN
LONG BEACH, CA
NPI
1861618027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2007-04-17
Last Update Date
2012-03-12
Business Address
Mr. KIM EDWARD NISSEN M.A,
440 REDONDO AVE STE 201
LONG BEACH, CA 90814-5145
Phone number: 562-209-5064
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Mailing Address
Mr. KIM EDWARD NISSEN M.A,
440 REDONDO AVE STE 201
LONG BEACH, CA 90814-5145
Phone number:
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