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1114701919
EUNG JIN BRENDON BAE
FOREST HILLS, NY
NPI
1114701919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NY RT009885)
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
EUNG JIN BRENDON BAE OD
9620 METROPOLITAN AVE
FOREST HILLS, NY 11375-6625
Phone number: 718-793-2020
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Mailing Address
EUNG JIN BRENDON BAE OD
9620 METROPOLITAN AVE
FOREST HILLS, NY 11375-6625
Phone number: 718-793-2020
Copy
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