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1912727710
KAZUKO KIM MIZUSHIMA
MODESTO, CA
NPI
1912727710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2024-10-15
Last Update Date
2024-10-15
Business Address
KAZUKO KIM MIZUSHIMA
515 13TH ST
MODESTO, CA 95354-2437
Phone number: 209-884-2424
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Mailing Address
KAZUKO KIM MIZUSHIMA
5642 ALLOWAY ST
SACRAMENTO, CA 95835-2361
Phone number: 310-666-2571
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