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Individual
KIM DELA VINA
Active
Individual
KIM DELA VINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN216050
CA
Other
Enumeration date
04/06/2010
Last updated
07/13/2012
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