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Individual

PETER P KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
53282
CA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
53282
CA

Other

Enumeration date
06/28/2011
Last updated
01/05/2012
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