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Individual

SERIM KANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4222 N PERSHING AVE, SUITE D2, STOCKTON, CA 95204
(916) 953-8472
Mailing address
1618 E 9TH ST, STOCKTON, CA 95206-3337
(916) 752-2140

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
08/28/2016
Last updated
08/28/2016
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