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1508811852
JISUNG KIM
FALLS CHURCH, VA
NPI
1508811852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: VA 0024166745)
Enumeration Date
2006-05-24
Last Update Date
2023-11-07
Business Address
JISUNG KIM CRNA
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-3138
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Mailing Address
JISUNG KIM CRNA
3100 SPRING FOREST RD SUITE 130
RALEIGH, NC 27616-2880
Phone number: 919-882-0705
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