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1124611207
SOKPHEAP LIM
COSTA MESA, CA
NPI
1124611207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95016646)
Enumeration Date
2021-02-18
Last Update Date
2021-02-18
Business Address
SOKPHEAP LIM
150 PAULARINO AVE STE 182
COSTA MESA, CA 92626-3301
Phone number: 800-482-5174
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Mailing Address
SOKPHEAP LIM
150 PAULARINO AVE STE 182
COSTA MESA, CA 92626-3301
Phone number:
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