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1124761226
LISA KIM
VALLEJO, CA
NPI
1124761226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-16
Last Update Date
2022-04-16
Business Address
LISA KIM
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 707-651-4071
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Mailing Address
LISA KIM
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 707-651-4071
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