SAM YONG KIM

CAMP PENDLETON, CA
NPI1114122645
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-06-15
Last Update Date2007-07-08
Business Address
Mr. SAM YONG KIM IDC
BOX 555697
CAMP PENDLETON, CA 92055
Phone number: 619-961-8745
Mailing Address
Mr. SAM YONG KIM IDC
9115 DILLON DR
LA MESA, CA 91941-4230
Phone number: 619-961-8745
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