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1154090694
DEBORA KIM
LOMA LINDA, CA
NPI
1154090694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95016799)
Enumeration Date
2021-09-08
Last Update Date
2022-07-20
Business Address
DEBORA KIM
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4200
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Mailing Address
DEBORA KIM
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number:
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