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1174821128
YOUNGSOON AN
NEW YORK, NY
NPI
1174821128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F305442)
Enumeration Date
2011-02-28
Last Update Date
2013-01-31
Business Address
-- YOUNGSOON AN
10 UNION SQ E SUITE 4G
NEW YORK, NY 10003-3314
Phone number: 201-866-9320
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Mailing Address
-- YOUNGSOON AN
254 FOREST AVE
GLEN RIDGE, NJ 07028-1727
Phone number: 718-406-6705
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