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1922607894
BOB KIM
SANTA MONICA, CA
NPI
1922607894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA F10200931)
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
BOB KIM FNP-C
2222 SANTA MONICA BLVD STE 301
SANTA MONICA, CA 90404-2307
Phone number: 310-449-0093
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Mailing Address
BOB KIM FNP-C
336 S OCCIDENTAL BLVD APT 206
LOS ANGELES, CA 90057-1544
Phone number: 213-270-5684
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