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1013424068
DOMINIC JUNG SOO KOO
LAS VEGAS, NV
NPI
1013424068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NV 3661)
Enumeration Date
2017-12-29
Last Update Date
2017-12-29
Business Address
DOMINIC JUNG SOO KOO PT
2800 E DESERT INN RD STE 200
LAS VEGAS, NV 89121-3632
Phone number: 702-294-7499
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Mailing Address
DOMINIC JUNG SOO KOO PT
151 KANUNU ST APT 1404
HONOLULU, HI 96814
Phone number:
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