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1306981022
JINSAM KWON
PUYALLUP, WA
NPI
1306981022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 9983)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
-- JINSAM KWON
16515 MERIDIAN E SUITE 100B
PUYALLUP, WA 98375-6251
Phone number: 253-770-0198
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Mailing Address
-- JINSAM KWON
16515 MERIDIAN E SUITE 100B
PUYALLUP, WA 98375-6251
Phone number: 253-770-0198
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