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Individual

MRS. JIEUN KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HIS

Contact information

Practice address
18802 MOUNTAIN VIEW DR E, BONNEY LAKE, WA 98391-7110
(253) 886-0855
(253) 941-3896
Mailing address
16014 24TH ST E, LAKE TAPPS, WA 98391-4908
(253) 886-0855
(253) 941-3896

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA60239129
WA

Other

Enumeration date
11/17/2016
Last updated
11/17/2016
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