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1326572629
KRISTEN SOJUNG KIM
JAMAICA, NY
NPI
1326572629
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Former Name
SOJUNG LEE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 020757-1)
Enumeration Date
2017-04-13
Last Update Date
2023-08-10
Business Address
KRISTEN SOJUNG KIM PA-C
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 646-719-4136
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Mailing Address
KRISTEN SOJUNG KIM PA-C
4338 164TH ST
FLUSHING, NY 11358-3253
Phone number: 646-719-4136
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