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1124475363
JEAGWAN LIM
FLUSHING, NY
NPI
1124475363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 035534)
Enumeration Date
2016-05-18
Last Update Date
2024-04-26
Business Address
JEAGWAN LIM
4199 MAIN ST STE 202B
FLUSHING, NY 11355-3821
Phone number: 929-398-3120
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Mailing Address
JEAGWAN LIM
13620 MAPLE AVE STE 201C
FLUSHING, NY 11355-5167
Phone number: 929-398-3120
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