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1689362204
BRYAN WONTAEK SHIN
BOSTON, MA
NPI
1689362204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-01
Last Update Date
2023-05-01
Business Address
BRYAN WONTAEK SHIN
300 LONGWOOD AVE
BOSTON, MA 02115-5724
Phone number: 617-355-6000
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Mailing Address
BRYAN WONTAEK SHIN
9723 NORTHFORK DR
BRENTWOOD, TN 37027-8334
Phone number: 615-707-0330
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