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1063233641
PRISCA KIM
SAN BERNARDINO, CA
NPI
1063233641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95031605)
Enumeration Date
2024-10-17
Last Update Date
2024-10-17
Business Address
PRISCA KIM
375 W HOSPITALITY LN
SAN BERNARDINO, CA 92408-3203
Phone number: 909-888-9977
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Mailing Address
PRISCA KIM
12855 MARYLAND AVE
EASTVALE, CA 92880-6200
Phone number:
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