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1821797747
DAVID KIM
LOGAN, UT
NPI
1821797747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-02-28
Last Update Date
2023-02-28
Business Address
DAVID KIM
160 WINDING WAY
LOGAN, UT 84321-6755
Phone number: 435-258-8088
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Mailing Address
DAVID KIM
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number:
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