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1942914387
JOHNSAM KYLE BAK
GARDENA, CA
NPI
1942914387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 303375)
Enumeration Date
2023-01-10
Last Update Date
2023-01-10
Business Address
JOHNSAM KYLE BAK
1045 W REDONDO BEACH BLVD
GARDENA, CA 90247-4128
Phone number: 310-329-1444
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Mailing Address
JOHNSAM KYLE BAK
2810 REDONDO BEACH BLVD
TORRANCE, CA 90504-1531
Phone number: 310-995-6571
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