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1760028625
JEONGWOOK SO
FLUSHING, NY
NPI
1760028625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: NY 041256)
Enumeration Date
2019-11-25
Last Update Date
2019-11-25
Business Address
JEONGWOOK SO PT
3635 167TH ST APT 3M
FLUSHING, NY 11358-2112
Phone number: 064-646-0109
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Mailing Address
JEONGWOOK SO PT
3635 167TH ST APT 3M
FLUSHING, NY 11358-2112
Phone number:
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