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1669059838
JAE WOO SHIN
JBSA FT SAM HOUSTON, TX
NPI
1669059838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: NE 35069)
Enumeration Date
2021-03-25
Last Update Date
2023-02-05
Business Address
JAE WOO SHIN
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-6604
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Mailing Address
JAE WOO SHIN
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-6604
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