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1750751608
TAEREE KIM KANG
NORTHRIDGE, CA
NPI
1750751608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95002938)
Enumeration Date
2015-10-05
Last Update Date
2015-10-05
Business Address
TAEREE KIM KANG
18546 ROSCOE BLVD STE 211
NORTHRIDGE, CA 91324-5451
Phone number: 818-885-8040
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Mailing Address
TAEREE KIM KANG
11539 AMALFI WAY
PORTER RANCH, CA 91326-4099
Phone number: 408-828-9576
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