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1154997682
GWYNETH KIM
TUSTIN, CA
NPI
1154997682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP95016380)
Enumeration Date
2021-06-03
Last Update Date
2021-08-01
Business Address
GWYNETH KIM FNP
14642 NEWPORT AVE STE 105
TUSTIN, CA 92780-6058
Phone number: 949-520-4175
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Mailing Address
GWYNETH KIM FNP
15638 STARBUCK ST
WHITTIER, CA 90603-2320
Phone number: 213-505-3186
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