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1245941046
JESSICA KIM
HUNTINGTON, NY
NPI
1245941046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 311107)
Enumeration Date
2022-12-12
Last Update Date
2022-12-12
Business Address
JESSICA KIM NP
224 WALL ST STE 101
HUNTINGTON, NY 11743-2186
Phone number: 631-351-2024
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Mailing Address
JESSICA KIM NP
224 WALL ST STE 101
HUNTINGTON, NY 11743-2186
Phone number:
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