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1770134025
JIHONG KIM
BASTROP, TX
NPI
1770134025
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Professional Name
JAMES KIM
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP141610)
Enumeration Date
2019-09-26
Last Update Date
2019-09-26
Business Address
JIHONG KIM NP
489 AGNES ST STE 100
BASTROP, TX 78602-2157
Phone number: 512-321-9091
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Mailing Address
JIHONG KIM NP
489 AGNES ST STE 100
BASTROP, TX 78602-2157
Phone number: 512-321-9091
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