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1154819878
JISOO KIM
GREENVILLE, NC
NPI
1154819878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NC 2022-02860)
Enumeration Date
2018-04-27
Last Update Date
2024-09-24
Business Address
JISOO KIM
517 MOYE BLVD
GREENVILLE, NC 27834-2849
Phone number: 252-744-2393
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Mailing Address
JISOO KIM
PO BOX 751069
CHARLOTTE, NC 28275-1069
Phone number:
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