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1780413377
JIN D. KIM
PORTLAND, OR
NPI
1780413377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
JIN D. KIM
14725 SE RHONE ST
PORTLAND, OR 97236-2556
Phone number: 503-666-6575
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Mailing Address
JIN D. KIM
1756 SE LILLY PL
CORVALLIS, OR 97333-1802
Phone number: 541-221-8912
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ANICCA LLC