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Individual

MINA KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(224) 436-9668
Mailing address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
03/09/2020
Last updated
03/09/2020
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Product
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  • Eligibility checks
  • EDI platform