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1770355745
DONGHYEON KIM
NEW BRITAIN, CT
NPI
1770355745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-10-24
Last Update Date
2023-12-15
Business Address
DONGHYEON KIM
600 SLATER RD
NEW BRITAIN, CT 06053-2646
Phone number: 959-444-6350
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Mailing Address
DONGHYEON KIM
15 KENT CT UNIT 3
ASHFORD, CT 06278-1511
Phone number: 959-444-6350
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