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Individual

MS. MYONG OK OM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DIPL. O.M.

Contact information

Practice address
655 KEARNY AVE STE 102, KEARNY, NJ 07032-2942
(201) 913-3977
Mailing address
300 WINSTON DR APT 615, CLIFFSIDE PARK, NJ 07010-3213
(201) 913-3977

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
005016
NY
171100000X
Acupuncturist
Primary
25MZ00099600
NJ
171100000X
Acupuncturist

Other

Enumeration date
06/01/2013
Last updated
09/03/2021
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