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1669215802
STACY KIM
POMONA, CA
NPI
1669215802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA F05230927)
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
STACY KIM
1798 N GAREY AVE
POMONA, CA 91767-2918
Phone number: 626-483-7866
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Mailing Address
STACY KIM
1798 N GAREY AVE
POMONA, CA 91767-2918
Phone number: 626-483-7866
Copy
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