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Individual

MISS KIMM JIANJIN SUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
564731-1
NY
367A00000X
Advanced Practice Midwife
Primary
F001351-1
NY

Other

Enumeration date
09/09/2009
Last updated
07/20/2012
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