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1205292398
SO YOUNG KWON
BAYSIDE, NY
NPI
1205292398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 039777)
Enumeration Date
2016-01-06
Last Update Date
2016-01-06
Business Address
-- SO YOUNG KWON PT
203-15 42ND AVE. #1C
BAYSIDE, NY 11361-3126
Phone number: 646-771-0154
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Mailing Address
-- SO YOUNG KWON PT
203-15 42ND AVE. #1C
BAYSIDE, NY 11361-3126
Phone number: 646-771-0154
Copy
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