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1639153182
SEUNG SOO KIM
FORT WAYNE, IN
NPI
1639153182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IN 01040258A)
Enumeration Date
2005-11-29
Last Update Date
2018-08-21
Business Address
SEUNG SOO KIM MD
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-1000
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Mailing Address
SEUNG SOO KIM MD
2458 LAKE AVE
FORT WAYNE, IN 46805-5406
Phone number: 260-424-2195
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