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1770362998
ALICE KISUN KIM
FULLERTON, CA
NPI
1770362998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA 95027340)
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
ALICE KISUN KIM PMHNP
2558 TIFFANY PL
FULLERTON, CA 92833-1527
Phone number: 213-200-3500
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Mailing Address
ALICE KISUN KIM PMHNP
2558 TIFFANY PL
FULLERTON, CA 92833-1527
Phone number: 213-200-3500
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