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1922088863
SU JI CHUNG
FORT CAMPBELL, KY
NPI
1922088863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA de00010352)
Enumeration Date
2006-01-18
Last Update Date
2007-07-08
Business Address
Dr. SU JI CHUNG DDS
BLDG 2441 21ST STREET USA DENTAC
FORT CAMPBELL, KY 42223-5369
Phone number: 270-798-8614
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Mailing Address
Dr. SU JI CHUNG DDS
BLDG 2441 21ST STREET USA DENTAC
FORT CAMPBELL, KY 42223-5369
Phone number: 270-798-8614
Copy
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