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1902966310
JAE HO KIM
DETROIT, MI
NPI
1902966310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: MI 4301055250)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
JAE HO KIM M.D.
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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Mailing Address
JAE HO KIM M.D.
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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