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1205344967
GRACE KIM
CERRITOS, CA
NPI
1205344967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95007722)
Enumeration Date
2018-01-16
Last Update Date
2018-04-05
Business Address
GRACE KIM FNP-C
12900 PARK PLAZA DR
CERRITOS, CA 90703-9329
Phone number: 562-622-2800
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Mailing Address
GRACE KIM FNP-C
10487 ELDERBERRY LN
SANTA FE SPRINGS, CA 90670-6908
Phone number: 562-266-8606
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