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1851644959
SUNI SOON GUM KWON
OAKLAND, CA
NPI
1851644959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 09400633ORN)
Enumeration Date
2012-10-26
Last Update Date
2016-09-09
Business Address
-- SUNI SOON GUM KWON RN
2501 HARRISON ST
OAKLAND, CA 94612-3811
Phone number: 541-690-4011
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Mailing Address
-- SUNI SOON GUM KWON RN
1645 TAYLOR BLVD
LAFAYETTE, CA 94549-2117
Phone number: 541-690-4011
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