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1306474978
SUNGWAN KIM
ASHFORD, CT
NPI
1306474978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2020-03-30
Last Update Date
2021-06-21
Business Address
SUNGWAN KIM MS, ATC
15-3 KENT CT
ASHFORD, CT 06278-1536
Phone number: 774-257-3686
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Mailing Address
SUNGWAN KIM MS, ATC
15-3 KENT CT
ASHFORD, CT 06278-1536
Phone number: 774-257-3686
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