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1972665669
JI SOO KIM
BRONX, NY
NPI
1972665669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 331768)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
-- JI SOO KIM
1400 PELHAM PKWY S PEDS ED
BRONX, NY 10461-1138
Phone number: 718-918-5875
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Mailing Address
-- JI SOO KIM
1764 STEWART AVE
NEW HYDE PARK, NY 11040-1827
Phone number:
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