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Individual
JENNIE KIM
Active
Individual
JENNIE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
066315
NY
183500000X
Pharmacist
28RI03324800
NJ
Other
Enumeration date
08/27/2019
Last updated
06/08/2026
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