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1710496989
HO MIKE KIM
SANDY, UT
NPI
1710496989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 153175-1701)
Enumeration Date
2017-09-20
Last Update Date
2017-09-20
Business Address
HO MIKE KIM rph
11100 S AUTO MALL DR
SANDY, UT 84070-4171
Phone number: 801-790-0002
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Mailing Address
HO MIKE KIM rph
11774 S TWIN PINES CT
DRAPER, UT 84020-4519
Phone number: 801-450-1370
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