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1265478531
SUSAN C KIM
MERIDIAN, ID
NPI
1265478531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: ID M6493)
Enumeration Date
2006-06-22
Last Update Date
2020-08-20
Business Address
SUSAN C KIM MD
3280 E LANARK DR
MERIDIAN, ID 83642-5982
Phone number: 208-377-4400
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Mailing Address
SUSAN C KIM MD
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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