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1356196281
MICHELE KIM
FORT LEE, NJ
NPI
1356196281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224L00000X Pedorthist
(Licence: NJ CPED4638)
Enumeration Date
2024-04-23
Last Update Date
2024-04-23
Business Address
MICHELE KIM C.PED
1402 BERGEN BLVD
FORT LEE, NJ 07024-2116
Phone number: 201-328-2776
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Mailing Address
MICHELE KIM C.PED
1402 BERGEN BLVD
FORT LEE, NJ 07024-2116
Phone number: 201-328-2776
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