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1952766602
JI YONG KIM
GILBERT, AZ
NPI
1952766602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2015-12-23
Last Update Date
2015-12-23
Business Address
-- JI YONG KIM CNIM, R. EP. T.
2301 WEST SANOQUE CT
GILBERT, AZ 85298
Phone number: 720-503-5711
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Mailing Address
-- JI YONG KIM CNIM, R. EP. T.
PO BOX 96
MILAM, TX 75959-0096
Phone number:
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