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Individual

MIN SOO JI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
3830 PARSONS BLVD STE 1B, FLUSHING, NY 11354-5843
(718) 321-0205
(718) 321-1442
Mailing address
540 115TH ST APT C, COLLEGE POINT, NY 11356-1059
(347) 882-7805
(718) 321-1442

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004777
NY

Other

Enumeration date
03/22/2012
Last updated
03/22/2012
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