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1174053987
JANE KIM
WHITESTONE, NY
NPI
1174053987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 027917)
Enumeration Date
2017-06-14
Last Update Date
2020-10-19
Business Address
JANE KIM
15050 14TH RD
WHITESTONE, NY 11357-2609
Phone number: 718-767-0091
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Mailing Address
JANE KIM
8702 248TH ST
BELLEROSE, NY 11426-2008
Phone number: 917-502-7121
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