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1164000691
SHANNEN DEANNA KIM
STANFORD, CA
NPI
1164000691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-29
Last Update Date
2024-12-10
Business Address
SHANNEN DEANNA KIM
300 PASTEUR DR
STANFORD, CA 94305-2200
Phone number: 650-723-5948
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Mailing Address
SHANNEN DEANNA KIM
300 PASTEUR DR
STANFORD, CA 94305-2200
Phone number:
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