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1114682481
SUNGHOON KIM
FLAGSTAFF, AZ
NPI
1114682481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 266207)
Enumeration Date
2021-11-02
Last Update Date
2024-07-25
Business Address
SUNGHOON KIM NP
2001 N 4TH ST
FLAGSTAFF, AZ 86004-4227
Phone number: 928-527-4325
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Mailing Address
SUNGHOON KIM NP
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone number:
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