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1912677253
JIAE KWAK
ALHAMBRA, CA
NPI
1912677253
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Professional Name
VICKY KWAK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95018394)
Enumeration Date
2021-09-17
Last Update Date
2021-09-17
Business Address
JIAE KWAK fnp
1001 S GARFIELD AVE
ALHAMBRA, CA 91801-4772
Phone number: 310-803-7648
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Mailing Address
JIAE KWAK fnp
1001 S GARFIELD AVE
ALHAMBRA, CA 91801-4772
Phone number: 310-803-7648
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