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1376981258
MIJUNG KIM
SOUTH PORTLAND, ME
NPI
1376981258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ME DEN4315)
Enumeration Date
2013-06-12
Last Update Date
2013-06-12
Business Address
-- MIJUNG KIM
85 WESTERN AVE #3
SOUTH PORTLAND, ME 04106-2423
Phone number: 207-408-0479
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Mailing Address
-- MIJUNG KIM
85 WESTERN AVE #3
SOUTH PORTLAND, ME 04106-2423
Phone number: 207-408-0479
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