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1023841947
ALICE KWON-SONG
IRVINE, CA
NPI
1023841947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95030728)
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
ALICE KWON-SONG NP
15825 LAGUNA CANYON RD STE 104
IRVINE, CA 92618-2126
Phone number: 949-585-9870
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Mailing Address
ALICE KWON-SONG NP
11052 LINDA LN APT B
GARDEN GROVE, CA 92840-5216
Phone number: 213-800-1947
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