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NPI Provider: 1629066642
Contact Name: song. soonhi
Position: physician
Phone:
18thmedcom Information:
18thmedcom organization have npi 1629066642, taxonomy code is 2865M2000X with license number is 16541 in . This Business address located in 121general hospital, APO, AP 96205 . Get directions of 18thmedcom.
Practice Location
Address: 121general hospital, APO, AP 96205
Business Location
Address: 121general hospital, APO, AP 96205
Taxonomy
Taxonomy Code: 2865M2000X
License Number: 16541
License Number of State: CT
Primary Taxonomy Switch: Y
Enumeration Date: 10/12/2005
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