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1295466282
LY KIM
GREENVILLE, NC
NPI
1295466282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner Gerontology
(Licence: NC AG02220122)
Enumeration Date
2022-06-21
Last Update Date
2022-06-21
Business Address
LY KIM NP
3313 PACOLET DR
GREENVILLE, NC 27834-6035
Phone number: 336-508-0935
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Mailing Address
LY KIM NP
3313 PACOLET DR
GREENVILLE, NC 27834-6035
Phone number: 336-508-0935
Copy
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