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1023626033
SERIN KIM
EAGLE, ID
NPI
1023626033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-6734)
Enumeration Date
2020-07-15
Last Update Date
2020-07-15
Business Address
SERIN KIM DPT
77 N FISHER PARK WAY
EAGLE, ID 83616-4796
Phone number: 208-297-3039
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Mailing Address
SERIN KIM DPT
1311 E PROHASKA ST
EAGLE, ID 83616-6673
Phone number:
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