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1679038103
KATHERINE KO
DIAMOND BAR, CA
NPI
1679038103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95009181)
Enumeration Date
2019-02-08
Last Update Date
2019-02-08
Business Address
KATHERINE KO NP
2705 S DIAMOND BAR BLVD STE 100
DIAMOND BAR, CA 91765-3557
Phone number: 626-965-1988
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Mailing Address
KATHERINE KO NP
21233 CORRAL CT
WALNUT, CA 91789-2031
Phone number: 909-569-4954
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