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1275278020
SALLY KIM
COSTA MESA, CA
NPI
1275278020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-04
Last Update Date
2022-05-04
Business Address
SALLY KIM
940 S COAST DR STE 225
COSTA MESA, CA 92626-7757
Phone number: 949-743-1457
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Mailing Address
SALLY KIM
634 E ROUTE 66 APT 39
GLENDORA, CA 91740-3500
Phone number: 408-966-7713
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