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1154938264
HAESSAL KIM
FLUSHING, NY
NPI
1154938264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY F346546-01)
Enumeration Date
2020-09-23
Last Update Date
2020-09-23
Business Address
Ms. HAESSAL KIM NP
14425 33RD AVE APT 4L
FLUSHING, NY 11354-3103
Phone number: 718-475-0718
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Mailing Address
Ms. HAESSAL KIM NP
14425 33RD AVE APT 4L
FLUSHING, NY 11354-3103
Phone number: 718-475-0718
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