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1396735551
SOON H KIM
BRIDGETON, MO
NPI
1396735551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MO MDRIC44)
Enumeration Date
2005-10-27
Last Update Date
2007-07-08
Business Address
Mr. SOON H KIM MD
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
Phone number: 314-344-7049
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Mailing Address
Mr. SOON H KIM MD
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
Phone number: 314-344-7049
Copy
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