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1871248286
RONALD SUNGSOO KIM
TUSTIN, CA
NPI
1871248286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95019960)
Enumeration Date
2022-02-14
Last Update Date
2024-10-23
Business Address
Mr. RONALD SUNGSOO KIM FNP-BC
1 HOPE DR
TUSTIN, CA 92782-0221
Phone number: 713-247-0300
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Mailing Address
Mr. RONALD SUNGSOO KIM FNP-BC
1 HOPE DR
TUSTIN, CA 92782-0221
Phone number: 713-247-0300
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