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1023097375
JOHNNY JONGSUN KIM
FRAMINGHAM, MA
NPI
1023097375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146D00000X Personal Emergency Response Attendant
(Licence: GU m-1759)
Enumeration Date
2006-01-14
Last Update Date
2016-06-22
Business Address
-- JOHNNY JONGSUN KIM m.d
117 LINCOLN ST
FRAMINGHAM, MA 01702-6358
Phone number: 508-383-1104
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Mailing Address
-- JOHNNY JONGSUN KIM m.d
159 LEON GUERRERO DR 1001 BLUE PACIFIC LATTICE CONDO
TAMUNING, GU 96913-4459
Phone number:
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