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1265253546
TAE KIM
FALLS CHURCH, VA
NPI
1265253546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024191909)
Enumeration Date
2024-10-21
Last Update Date
2024-12-02
Business Address
TAE KIM
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3300
Phone number: 703-776-4001
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Mailing Address
TAE KIM
12833 POINT PLEASANT DR
FAIRFAX, VA 22033-3216
Phone number: 571-422-7288
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