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Individual

HANNAH KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
4775 LOMA DEL SUR DR, EL PASO, TX 79934-3551
(915) 974-1332
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6241
(618) 462-9818
(314) 741-4947

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10780
TX

Other

Enumeration date
04/26/2012
Last updated
11/02/2022
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