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Individual
JENNY KIM
Active
Individual
JENNY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
32160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32160
LICENSE
CA
Enumeration date
04/04/2012
Last updated
04/04/2012
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