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1730817842
JIN SUK KIM
WARRENTON, VA
NPI
1730817842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: VA 0607570)
Enumeration Date
2022-08-08
Last Update Date
2022-08-08
Business Address
JIN SUK KIM
430 E SHIRLEY AVE
WARRENTON, VA 20186-3725
Phone number: 540-422-7100
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Mailing Address
JIN SUK KIM
7716 LAFAYETTE FOREST DR APT 31
ANNANDALE, VA 22003-6347
Phone number: 571-212-2984
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