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Individual

JUNGWOOK JIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3400 YOUNGFIELD ST, WHEAT RIDGE, CO 80033-5245
(303) 459-5645
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
709537
MD
163W00000X
Registered Nurse
709537
NY
363LF0000X
Family Nurse Practitioner
Primary
0996400
CO
363LF0000X
Family Nurse Practitioner
342677
NY

Other

Enumeration date
07/23/2017
Last updated
02/15/2023
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