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1386075117
VIDA ROSE KIM
LAS VEGAS, NV
NPI
1386075117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NV APRN001635)
Enumeration Date
2013-12-04
Last Update Date
2024-02-29
Business Address
VIDA ROSE KIM APRN, NP-C
3150 N TENAYA WAY STE 125
LAS VEGAS, NV 89128-0484
Phone number: 702-869-0855
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Mailing Address
VIDA ROSE KIM APRN, NP-C
400 N STEPHANIE ST STE 300
HENDERSON, NV 89014-6692
Phone number: 702-952-3350
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