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1194718114
JUSTIN M KIM
BOERNE, TX
NPI
1194718114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 6310T)
Enumeration Date
2005-08-24
Last Update Date
2020-04-29
Business Address
JUSTIN M KIM O.D.
130 NORRIS LN
BOERNE, TX 78006-2893
Phone number: 830-249-3898
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Mailing Address
JUSTIN M KIM O.D.
130 NORRIS LN
BOERNE, TX 78006-2893
Phone number: 830-249-3898
Copy
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