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1114100526
DIANE KIM
SAN DIEGO, CA
NPI
1114100526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP 17889)
Enumeration Date
2007-12-07
Last Update Date
2023-08-21
Business Address
DIANE KIM APRN
501 WASHINGTON ST
SAN DIEGO, CA 92103-2231
Phone number: 619-278-3300
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Mailing Address
DIANE KIM APRN
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 619-278-3300
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