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1265051320
KELLY YOUNGAE LIM
LOS ANGELES, CA
NPI
1265051320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95014062)
Enumeration Date
2020-04-09
Last Update Date
2020-04-09
Business Address
KELLY YOUNGAE LIM NP-C
3663 W 6TH ST STE 103
LOS ANGELES, CA 90020-3047
Phone number: 213-306-2221
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Mailing Address
KELLY YOUNGAE LIM NP-C
2614 CYPRESS POINT DR
FULLERTON, CA 92833-2062
Phone number: 714-310-8525
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