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1457781890
KIM FAMOUS
BRONX, NY
NPI
1457781890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 008614-1)
Enumeration Date
2013-11-21
Last Update Date
2013-11-21
Business Address
-- KIM FAMOUS PA
645 MINNIEFORD AVE
BRONX, NY 10464-1121
Phone number: 917-703-5700
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Mailing Address
-- KIM FAMOUS PA
645 MINNIEFORD AVE
BRONX, NY 10464-1121
Phone number:
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