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1770784944
BAEKBONG KIM
FLUSHING, NY
NPI
1770784944
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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
2007-05-29
Last Update Date
2007-07-08
Business Address
Mr. BAEKBONG KIM MSW
14015B SANFORD AVE
FLUSHING, NY 11355-2557
Phone number: 718-358-8288
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Mailing Address
Mr. BAEKBONG KIM MSW
14015B SANFORD AVE
FLUSHING, NY 11355-2557
Phone number: 718-358-8288
Copy
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