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1720256621
MYUNG JA KWAK
FAR ROCKAWAY, NY
NPI
1720256621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 235902-1)
Enumeration Date
2008-02-13
Last Update Date
2008-02-13
Business Address
-- MYUNG JA KWAK CRNA
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 718-869-7000
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Mailing Address
-- MYUNG JA KWAK CRNA
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 718-869-7000
Copy
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