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KET BUI

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1982379152

Individual Registrant:
 KET  BUI 
Gender: M
Sole Proprietor

Location and contact information for practice:
15161 JACKSON ST  MIDWAY CITY, CA 92655-1432 US
Tel: 714-222-1578  Fax: --

Contact information for business:
15161 JACKSON ST  MIDWAY CITY, CA 92655-1432 US
Tel: 714-222-1578  Fax: --

Registration Information:
NPI: 1982379152
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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