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1811447501
DONGJIN KIM
BRONX, NY
NPI
1811447501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F402047)
Enumeration Date
2016-10-06
Last Update Date
2018-06-27
Business Address
DONGJIN KIM
2015 GRAND CONCOURSE
BRONX, NY 10453
Phone number: 592-799-2817
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Mailing Address
DONGJIN KIM
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 592-799-2817
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