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1952128183
KISANG KIM
ELMHURST, NY
NPI
1952128183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 048491)
Enumeration Date
2024-09-19
Last Update Date
2024-09-19
Business Address
KISANG KIM
9429 59TH AVE
ELMHURST, NY 11373-5150
Phone number: 929-510-9256
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Mailing Address
KISANG KIM
13955 35TH AVE APT 4C
FLUSHING, NY 11354-3507
Phone number: 929-510-9256
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