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1386333151
MIDEUM TIMOTHY KIM
LONG BEACH, CA
NPI
1386333151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP95024886)
Enumeration Date
2023-05-05
Last Update Date
2023-10-16
Business Address
MIDEUM TIMOTHY KIM Nurse Practitioner
2776 PACIFIC AVE
LONG BEACH, CA 90806-2613
Phone number: 562-997-2049
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Mailing Address
MIDEUM TIMOTHY KIM Nurse Practitioner
2776 PACIFIC AVE
LONG BEACH, CA 90806-2613
Phone number: 562-997-2049
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