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1235706672
JAMEY KIM
PORT JEFFERSON STATION, NY
NPI
1235706672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 347359)
Enumeration Date
2021-06-04
Last Update Date
2021-06-04
Business Address
JAMEY KIM
1500 ROUTE 112 BLDG 4
PORT JEFFERSON STATION, NY 11776-8055
Phone number: 631-751-3000
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Mailing Address
JAMEY KIM
1500 ROUTE 112 BLDG 4
PORT JEFFERSON STATION, NY 11776-8055
Phone number: 631-751-3000
Copy
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