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1003228115
GINNY KIM THAN
LOS ANGELES, CA
NPI
1003228115
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Former Name
GINNY KIM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 23518)
Enumeration Date
2014-05-22
Last Update Date
2014-05-22
Business Address
-- GINNY KIM THAN NP
4650 W SUNSET BLVD MS #81
LOS ANGELES, CA 90027-6062
Phone number: 323-361-3033
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Mailing Address
-- GINNY KIM THAN NP
4650 W SUNSET BLVD MS #81
LOS ANGELES, CA 90027-6062
Phone number: 323-361-3033
Copy
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