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Individual

JOONSEOK KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 S BISHOP AVE, ROLLA, MO 65401-4313
(573) 364-4339
Mailing address
1863 WHITE COLUMNS DR APT 303, ROLLA, MO 65401-2269
(636) 399-3194

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2022039197
MO

Other

Enumeration date
10/03/2022
Last updated
10/03/2022
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