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Individual

THOMAS BENEDICT KIM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
26371 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691-6368
(949) 348-0544
(949) 348-1589
Mailing address
26641 DOROTHEA, MISSION VIEJO, CA 92691-5901
(949) 215-0094

Taxonomy

Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
578563
CA

Other

Enumeration date
08/12/2005
Last updated
07/08/2007
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