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Individual
MARSHALL KIM
Active
Individual
MARSHALL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60637595
WA
363LA2100X
Acute Care Nurse Practitioner
23668
CA
Other
Enumeration date
10/01/2014
Last updated
08/24/2021
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