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1033491006
KIRK SHIM
TUBA CITY, AZ
NPI
1033491006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP10587)
Enumeration Date
2011-09-15
Last Update Date
2017-10-18
Business Address
KIRK SHIM APRN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Phone number: 928-283-2501
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Mailing Address
KIRK SHIM APRN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-1302
Phone number:
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