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1538601315
MIN JO
BRONX, NY
NPI
1538601315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F339215)
Enumeration Date
2016-11-10
Last Update Date
2016-11-10
Business Address
-- MIN JO
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
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Mailing Address
-- MIN JO
3198 GRAND CONCOURSE
BRONX, NY 10458-1000
Phone number: 718-618-0401
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