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1407001761
KIM IDOL
WINSTON SALEM, NC
NPI
1407001761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 11599)
Enumeration Date
2008-11-29
Last Update Date
2008-11-29
Business Address
MR. KIM IDOL PT
3150 BURKE MILL RD
WINSTON SALEM, NC 27103-6431
Phone number: 336-765-5115
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Mailing Address
MR. KIM IDOL PT
3150 BURKE MILL RD
WINSTON SALEM, NC 27103-6431
Phone number:
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