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1366938862
CLARK HYUN-IL SHIN
OLD BRIDGE, NJ
NPI
1366938862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NJ 46TR00710600)
Enumeration Date
2018-07-08
Last Update Date
2018-07-08
Business Address
CLARK HYUN-IL SHIN OTR/L
132 GOLDMINE LN
OLD BRIDGE, NJ 08857-3325
Phone number: 732-672-6866
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Mailing Address
CLARK HYUN-IL SHIN OTR/L
132 GOLDMINE LN
OLD BRIDGE, NJ 08857-3325
Phone number: 732-672-6866
Copy
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