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1881045995
ELAINE KIM
DIAMOND BAR, CA
NPI
1881045995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP 24297)
Enumeration Date
2016-06-29
Last Update Date
2021-12-03
Business Address
ELAINE KIM
1115 SENECA PL
DIAMOND BAR, CA 91765-4369
Phone number: 909-569-3682
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Mailing Address
ELAINE KIM
1115 SENECA PL
DIAMOND BAR, CA 91765-4369
Phone number: 909-569-3682
Copy
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