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Individual
YEONGBU KIM
Active
Individual
YEONGBU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95002924
CA
363LF0000X
Family Nurse Practitioner
F1214357
HI
Other
Enumeration date
03/31/2015
Last updated
03/27/2025
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