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1073939815
KISUNG KIM
RED BLUFF, CA
NPI
1073939815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: CA A141207)
Enumeration Date
2014-03-17
Last Update Date
2019-04-03
Business Address
KISUNG KIM BM
2450 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080-4356
Phone number: 530-527-0414
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Mailing Address
KISUNG KIM BM
2450 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080-4356
Phone number:
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