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1063055481
JAE HUN KIM
LAS VEGAS, NV
NPI
1063055481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NV PA2230)
Enumeration Date
2019-10-18
Last Update Date
2020-01-08
Business Address
JAE HUN KIM PA
540 N NELLIS BLVD
LAS VEGAS, NV 89110-5368
Phone number: 702-877-5199
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Mailing Address
JAE HUN KIM PA
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone number: 702-877-5199
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