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1174221147
SA RA KIM
ROCKVILLE, MD
NPI
1174221147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD AC005063)
Enumeration Date
2023-02-20
Last Update Date
2023-02-20
Business Address
SA RA KIM
11119 ROCKVILLE PIKE STE 101
ROCKVILLE, MD 20852-3143
Phone number: 301-881-5585
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Mailing Address
SA RA KIM
9343 LEMON MINT CT
FAIRFAX, VA 22031-1868
Phone number: 703-297-0780
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