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1356837496
JAY KIM
PASADENA, CA
NPI
1356837496
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Other Name
SUNGMIN KIM
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA NP95069185)
Enumeration Date
2018-07-02
Last Update Date
2022-01-11
Business Address
JAY KIM NP
87 N WILSON AVE APT 1
PASADENA, CA 91106-2318
Phone number: 703-981-2924
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Mailing Address
JAY KIM NP
9201 W SUNSET BLVD STE 820
WEST HOLLYWOOD, CA 90069-3701
Phone number: 310-550-1010
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