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1053947465
HYUNGBOK H JEONG
TRUMBULL, CT
NPI
1053947465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 8752)
Enumeration Date
2020-03-17
Last Update Date
2023-05-29
Business Address
HYUNGBOK H JEONG
5520 PARK AVE
TRUMBULL, CT 06611-3463
Phone number: 203-371-5873
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Mailing Address
HYUNGBOK H JEONG
5520 PARK AVE # WP2-100
TRUMBULL, CT 06611-3463
Phone number: 203-371-6969
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