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1366990798
JESSICA WIEDEMANN KIM
CERRITOS, CA
NPI
1366990798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95004967)
Enumeration Date
2016-09-14
Last Update Date
2016-10-18
Business Address
-- JESSICA WIEDEMANN KIM FNP
12900 PARK PLAZA DR SUITE #150
CERRITOS, CA 90703-9329
Phone number: 800-499-2793
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Mailing Address
-- JESSICA WIEDEMANN KIM FNP
12900 PARK PLAZA DR SUITE #150
CERRITOS, CA 90703-9329
Phone number: 800-499-2793
Copy
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