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Individual

MAN KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11111 S REDBUD ST, JENKS, OK 74037-4356
(918) 282-9323
Mailing address
11111 S REDBUD ST, JENKS, OK 74037-4356
(918) 282-9323

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
07/13/2023
Last updated
07/20/2023
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Product
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