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Individual

JAHOON KOO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACNPC-AG

Contact information

Practice address
1120 PINE ST, STANLEY, WI 54768-1297
(800) 643-0554
Mailing address
12111 W BELOIT RD APT 6, GREENFIELD, WI 53228-1910
(262) 709-6597

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APNP8026-33
WI

Other

Enumeration date
07/17/2018
Last updated
12/20/2022
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