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JU YOUNG BAE

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1821557968

Individual Registrant:
 JU YOUNG  BAE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5 PERRYRIDGE RD  GREENWICH, CT 06830-4608 US
Tel: 203-863-3409  Fax: --

Contact information for business:
5 PERRYRIDGE RD  GREENWICH, CT 06830-4608 US
Tel: 203-863-3409  Fax: --

Registration Information:
NPI: 1821557968
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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