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Individual
SAMUEL JINSU KIM
Active
Individual
SAMUEL JINSU KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN284464
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN284464
GA
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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