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1104515436
HEEDONG KIM
LOS ANGELES, CA
NPI
1104515436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95253512)
Enumeration Date
2023-05-03
Last Update Date
2023-05-03
Business Address
HEEDONG KIM
400 S WESTERN AVE STE 204
LOS ANGELES, CA 90020-4115
Phone number: 213-770-2070
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Mailing Address
HEEDONG KIM
905 FEDORA ST APT 2
LOS ANGELES, CA 90006-1472
Phone number: 347-556-5720
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