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Individual

BAMPENH BOB KHEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2501 ATLANTIC AVE, LONG BEACH, CA 90806-2708
(562) 424-6105
(562) 427-1605
Mailing address
2501 ATLANTIC AVE, LONG BEACH, CA 90806-2708
(562) 424-6105
(562) 427-1605

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
C167129
CA
Enumeration date
10/08/2018
Last updated
10/08/2018
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