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Individual

GYUJIN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12 BOKUM RD STE B, ESSEX, CT 06426-1500
(860) 767-9035
Mailing address
12 BOKUM RD STE B, ESSEX, CT 06426-1500
(860) 767-9035

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/08/2019
Last updated
08/12/2021
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