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Individual
SAEBOM KIM
Active
Individual
SAEBOM KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11022905
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
10014088
OR
363LP2300X
Primary Care Nurse Practitioner
AP61683297
WA
Other
Enumeration date
11/01/2022
Last updated
08/18/2026
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