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1497422141
JINWOOK SEO
FORT DRUM, NY
NPI
1497422141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: HI 1185908)
Enumeration Date
2021-08-29
Last Update Date
2021-08-29
Business Address
JINWOOK SEO PHYSICIAN ASSISTANT
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 315-772-2778
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Mailing Address
JINWOOK SEO PHYSICIAN ASSISTANT
108 BRADY RD
SACKETS HARBOR, NY 13685-9500
Phone number: 214-505-9934
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