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Individual

KYOUNG O MO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
355 HANSEN CIR, FOLSOM, CA 95630
(408) 497-5451
Mailing address
355 HANSEN CIR, FOLSOM, CA 95630
(408) 497-5451

Taxonomy

Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
Primary
715696
CA

Other

Enumeration date
06/06/2013
Last updated
06/06/2013
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