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1992438477
JACEY KIM
LOS ANGELES, CA
NPI
1992438477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA np95020833)
Enumeration Date
2022-07-02
Last Update Date
2022-07-02
Business Address
JACEY KIM
3030 W OLYMPIC BLVD STE 209
LOS ANGELES, CA 90006-6501
Phone number: 213-800-3088
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Mailing Address
JACEY KIM
859 N HELIOTROPE DR
LOS ANGELES, CA 90029-2521
Phone number: 213-435-5125
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