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1518722941
JISUN KIM
BOSTON, MA
NPI
1518722941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-02-15
Last Update Date
2024-02-15
Business Address
JISUN KIM
1 KNEELAND ST
BOSTON, MA 02111-1527
Phone number: 831-359-3687
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Mailing Address
JISUN KIM
665 WASHINGTON ST UNIT 1812
BOSTON, MA 02111-1650
Phone number: 617-636-6828
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