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1942838370
KEVIN KIM
HACKENSACK, NJ
NPI
1942838370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-31
Last Update Date
2020-03-31
Business Address
KEVIN KIM
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
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Mailing Address
KEVIN KIM
898 VIRGIL AVE
RIDGEFIELD, NJ 07657-1118
Phone number: 201-983-2959
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