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1083317788
GINA KIM
PHILADELPHIA, PA
NPI
1083317788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA064431)
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
GINA KIM
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-4000
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Mailing Address
GINA KIM
20 DAVIS AVE
BROOMALL, PA 19008-2101
Phone number: 267-684-9634
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