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Individual
SUNGEUN KWAK
Active
Individual
SUNGEUN KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02822851
—
NY
Enumeration date
03/01/2010
Last updated
03/01/2010
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