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1033884317
TAE JOO KIM
STONY BROOK, NY
NPI
1033884317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 306278)
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
TAE JOO KIM RN
14 MARION AVE
STONY BROOK, NY 11790-2404
Phone number: 631-235-6229
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Mailing Address
TAE JOO KIM RN
14 MARION AVE
STONY BROOK, NY 11790-2404
Phone number: 631-235-6229
Copy
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