KENNETH JUNG

FARMINGTON, NM
NPI1922464866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  A-0580)
Enumeration Date2016-01-07
Last Update Date2016-01-07
Business Address
-- KENNETH JUNG PTA
806 W MAPLE ST
FARMINGTON, NM 87401-5631
Phone number: 505-327-7105
Mailing Address
-- KENNETH JUNG PTA
1907 HOLLYHOCK CIR
FARMINGTON, NM 87401-2439
Phone number: 505-710-0946
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