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1023368222
BENJAMIN KIM
CHAMPAIGN, IL
NPI
1023368222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.019422)
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
-- BENJAMIN KIM PT
2906 CROSSING CT
CHAMPAIGN, IL 61822-6163
Phone number: 217-398-9800
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Mailing Address
-- BENJAMIN KIM PT
2906 CROSSING CT
CHAMPAIGN, IL 61822-6163
Phone number: 217-398-9800
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