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1528466356
SOO AH CHUN
BAYSIDE, NY
NPI
1528466356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 317455-1)
Enumeration Date
2014-12-10
Last Update Date
2014-12-10
Business Address
-- SOO AH CHUN
4314 217TH ST
BAYSIDE, NY 11361-2949
Phone number: 917-502-7419
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Mailing Address
-- SOO AH CHUN
4314 217TH ST
BAYSIDE, NY 11361-2949
Phone number: 917-502-7419
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