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1205445640
SOO YEON SHIN
CORTLAND, NY
NPI
1205445640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 346297)
Enumeration Date
2020-07-30
Last Update Date
2021-03-05
Business Address
SOO YEON SHIN
134 HOMER AVE
CORTLAND, NY 13045-1206
Phone number: 607-756-3500
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Mailing Address
SOO YEON SHIN
1 GUTHRIE SQ
SAYRE, PA 18840-1625
Phone number: 570-888-5858
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