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1477235505
MO KIM
LYNCHBURG, VA
NPI
1477235505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: RI 2000054004)
Enumeration Date
2023-08-07
Last Update Date
2024-03-21
Business Address
MR. MO KIM ATC
1971 UNIVERSITY BLVD
LYNCHBURG, VA 24515-0002
Phone number: 804-337-8809
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Mailing Address
MR. MO KIM ATC
12517 HILLGATE LN
RICHMOND, VA 23233-2420
Phone number: 804-337-8809
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