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1770203119
JUSTIN JONGHYUN SHIN
ELMIRA, NY
NPI
1770203119
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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
2022-08-29
Last Update Date
2023-04-04
Business Address
JUSTIN JONGHYUN SHIN MD
600 ROE AVE
ELMIRA, NY 14905-1629
Phone number: 607-442-1713
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Mailing Address
JUSTIN JONGHYUN SHIN MD
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613-5409
Phone number:
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