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1750146536
SAMUEL KIM
WEIMAR, CA
NPI
1750146536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95028798)
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
SAMUEL KIM
20601 WEST PAOLI LN
WEIMAR, CA 95736
Phone number: 530-637-4025
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Mailing Address
SAMUEL KIM
20601 WEST PAOLI LN
WEIMAR, CA 95736
Phone number: 530-637-4025
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