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1003305160
LEAH SOOYEON NAM
NEWARK, NJ
NPI
1003305160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-05-04
Last Update Date
2018-05-04
Business Address
LEAH SOOYEON NAM DMD
110 BERGEN ST
NEWARK, NJ 07103-2495
Phone number: 973-972-9592
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Mailing Address
LEAH SOOYEON NAM DMD
333 1ST ST APT A
PALISADES PARK, NJ 07650-2676
Phone number: 201-705-3203
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