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1538428388
TAESOO KIM
BROOKLYN, NY
NPI
1538428388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NY 015595)
Enumeration Date
2012-05-15
Last Update Date
2015-02-16
Business Address
MR. TAESOO KIM
1396 MYRTLE AVE
BROOKLYN, NY 11237-4513
Phone number: 718-878-4314
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Mailing Address
MR. TAESOO KIM
3279 30TH ST APT 3G
ASTORIA, NY 11106-2971
Phone number: 732-570-7757
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