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Individual

KYUNG JIN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7414 LITTLE RIVER TPKE, ANNANDALE, VA 22003-3013
(703) 269-1955
Mailing address
7606 JAMES MADISON HWY, GAINESVILLE, VA 20155-1916
(703) 628-1533

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207620
VA

Other

Enumeration date
11/17/2010
Last updated
11/17/2010
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