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1144910985
JOSEPH ILMYUNG KIM
BRONX, NY
NPI
1144910985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-12
Last Update Date
2023-05-12
Business Address
JOSEPH ILMYUNG KIM
3415 BAINBRIDGE AVE
BRONX, NY 10467-2403
Phone number: 301-787-0561
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Mailing Address
JOSEPH ILMYUNG KIM
3450 WAYNE AVE APT 8K
BRONX, NY 10467-2517
Phone number: 301-787-0561
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