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1811080302
HAE JIN HONG
FORT CAMPBELL, KY
NPI
1811080302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 54262)
Enumeration Date
2006-10-02
Last Update Date
2021-07-09
Business Address
HAE JIN HONG DDS
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751
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Mailing Address
HAE JIN HONG DDS
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751
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