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1902353204
JAEWON KIM
BUENA PARK, CA
NPI
1902353204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA OTA3462)
Enumeration Date
2016-09-02
Last Update Date
2016-09-02
Business Address
JAEWON KIM
7400 ARTESIA BLVD APT 1107
BUENA PARK, CA 90621-3963
Phone number: 808-636-0094
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Mailing Address
JAEWON KIM
7400 ARTESIA BLVD APT 1107
BUENA PARK, CA 90621
Phone number: 808-636-0094
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