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1629543970
ICK HO KIM
BETHESDA, MD
NPI
1629543970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R169959)
Enumeration Date
2018-10-12
Last Update Date
2018-10-12
Business Address
ICK HO KIM NP-C
10 CENTER DRIVE
BETHESDA, MD 20892
Phone number: 301-451-0336
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Mailing Address
ICK HO KIM NP-C
21408 RABBITS GLEN CT
GERMANTOWN, MD 20876-6951
Phone number: 240-688-9899
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