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1790246478
MIYONG KIM
TACOMA, WA
NPI
1790246478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95010459)
Enumeration Date
2019-03-26
Last Update Date
2022-03-17
Business Address
MIYONG KIM NP
9040 JACKSON AVE
TACOMA, WA 98431-5108
Phone number: 253-968-1110
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Mailing Address
MIYONG KIM NP
3663 W 4TH ST UNIT 10
LOS ANGELES, CA 90020-2335
Phone number:
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