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1083958110
SAM CHONG GRIMM
BROOKLYN, NY
NPI
1083958110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 656464)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
-- SAM CHONG GRIMM RN
2069 60TH ST APT 1R
BROOKLYN, NY 11204-2438
Phone number: 917-836-3461
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Mailing Address
-- SAM CHONG GRIMM RN
2069 60TH ST APT 1R
BROOKLYN, NY 11204-2438
Phone number: 917-836-3461
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