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1003373168
DONGEON KIM
CORONA, NY
NPI
1003373168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 040141)
Enumeration Date
2019-02-25
Last Update Date
2020-05-27
Business Address
DONGEON KIM
3310 101ST ST FL 2
CORONA, NY 11368-1018
Phone number: 347-708-1294
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Mailing Address
DONGEON KIM
7157 161ST ST APT 2A
FRESH MEADOWS, NY 11365-4497
Phone number: 917-292-2961
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