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1578184966
SHIN IL KIM
LOS ANGELES, CA
NPI
1578184966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95014461)
Enumeration Date
2020-04-27
Last Update Date
2020-04-27
Business Address
SHIN IL KIM NP
450 BAUCHET ST FL 8
LOS ANGELES, CA 90012-2907
Phone number: 213-972-2213
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Mailing Address
SHIN IL KIM NP
4520 PENNSYLVANIA AVE APT 118
LA CRESCENTA, CA 91214-4213
Phone number: 213-718-0865
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