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1003193152
BONGOK KIM
LINCOLN, NE
NPI
1003193152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist Prosthodontics
(Licence: NE 6993)
Enumeration Date
2011-11-03
Last Update Date
2011-11-03
Business Address
BONGOK KIM
3885 HOLDREGE ST.
LINCOLN, NE 68583-0740
Phone number: 402-472-8900
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Mailing Address
BONGOK KIM
POBOX 830740
LINCOLN, NE 68583-0740
Phone number:
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