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1174105050
JOSEPH KIM
FONTANA, CA
NPI
1174105050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-21
Last Update Date
2021-12-06
Business Address
JOSEPH KIM MD
17234 VALLEY BLVD, BUILDING A
FONTANA, CA 92335
Phone number: 909-427-2608
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Mailing Address
JOSEPH KIM MD
17234 VALLEY BLVD, BUILDING A
FONTANA, CA 92335
Phone number: 909-569-4387
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