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1205268166
MI JIN DOE
BINGHAMTON, NY
NPI
1205268166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F401609-1)
Enumeration Date
2013-08-02
Last Update Date
2016-01-08
Business Address
-- MI JIN DOE
114 CLINTON ST
BINGHAMTON, NY 13905-2212
Phone number: 607-797-0680
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Mailing Address
-- MI JIN DOE
114 CLINTON ST
BINGHAMTON, NY 13905-2212
Phone number: 607-797-0680
Copy
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