Individual
YONG KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 CRICKET LN, ORANGE, CT 06477-2646
(203) 799-0857
Mailing address
123 CRICKET LN, ORANGE, CT 06477-2646
(203) 799-0857
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008394
CT
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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