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1962894931
SU JIN SEO
FLUSHING, NY
NPI
1962894931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F307204)
Enumeration Date
2015-02-26
Last Update Date
2015-02-26
Business Address
-- SU JIN SEO
13909 28TH RD APT 6C
FLUSHING, NY 11354-1848
Phone number: 718-216-5455
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Mailing Address
-- SU JIN SEO
13909 28TH RD APT 6C
FLUSHING, NY 11354-1848
Phone number: 718-216-5455
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