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1679607543
KWANGCHUL SHIN
FLUSHING, NY
NPI
1679607543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 017504-1)
Enumeration Date
2007-03-15
Last Update Date
2024-11-13
Business Address
KWANGCHUL SHIN P.T
19122 NORTHERN BLVD
FLUSHING, NY 11358-2829
Phone number: 718-886-9090
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Mailing Address
KWANGCHUL SHIN P.T
19122 NORTHERN BLVD
FLUSHING, NY 11358-2829
Phone number: 718-886-9090
Copy
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