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Individual

MRS. YUJUNG KIM SKIBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
116 NORTHPORT AVE STE 112, BELFAST, ME 04915-6096
(207) 505-4163
Mailing address
116 NORTHPORT AVE STE 112, BELFAST, ME 04915-6096

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP4374
AZ
363L00000X
Nurse Practitioner
Primary
CNP231329
ME
363LF0000X
Family Nurse Practitioner
10021530
OR
363LF0000X
Family Nurse Practitioner
5016863
NC

Other

Enumeration date
11/23/2011
Last updated
02/07/2024
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