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1992445639
JUSTIN KIM
SCRANTON, PA
NPI
1992445639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
JUSTIN KIM DO
501 S WASHINGTON AVE
SCRANTON, PA 18505-3814
Phone number: 570-343-2383
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Mailing Address
JUSTIN KIM DO
19671 YOSEMITE CIR
NORTHRIDGE, CA 91326-4117
Phone number: 818-378-6745
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