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1396215059
REBECA JI HAE KIM STANLEY
DALLAS, TX
NPI
1396215059
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Former Name
REBECA JI HAE KIM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA12559)
Enumeration Date
2018-11-26
Last Update Date
2021-10-29
Business Address
Mrs. REBECA JI HAE KIM STANLEY PA-C
1801 INWOOD RD SUITE 102
DALLAS, TX 75390-2224
Phone number: 214-645-0595
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Mailing Address
Mrs. REBECA JI HAE KIM STANLEY PA-C
PO BOX 845347
DALLAS, TX 75284-7208
Phone number:
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