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1942798509
KACIE KYUNGSUN PAIK
SAN DIEGO, CA
NPI
1942798509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA A165648)
Enumeration Date
2018-04-28
Last Update Date
2020-08-07
Business Address
KACIE KYUNGSUN PAIK MD
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 629-543-6268
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Mailing Address
KACIE KYUNGSUN PAIK MD
14350 MERIDIAN PKWY # 2
RIVERSIDE, CA 92518-3035
Phone number: 951-827-7669
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