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1467916478
LUCAS KWANGSU SHIN
ALBANY, NY
NPI
1467916478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-01-23
Last Update Date
2019-01-23
Business Address
Dr. LUCAS KWANGSU SHIN DMD
113 HOLLAND AVE
ALBANY, NY 12208-3410
Phone number: 516-626-6570
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Mailing Address
Dr. LUCAS KWANGSU SHIN DMD
113 HOLLAND AVE
ALBANY, NY 12208-3410
Phone number: 516-626-6570
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