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1346077351
JAE EUN KIM
SAN DIEGO, CA
NPI
1346077351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95031733)
Enumeration Date
2024-09-16
Last Update Date
2024-09-27
Business Address
JAE EUN KIM FNP
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
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Mailing Address
JAE EUN KIM FNP
4067 MIRAMAR ST APT 4836
LA JOLLA, CA 92037-1329
Phone number: 310-710-2637
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