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1033744495
BONGSUN SHIN
ANAHEIM, CA
NPI
1033744495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 719108)
Enumeration Date
2020-03-05
Last Update Date
2020-03-05
Business Address
BONGSUN SHIN
2648 W BALL RD APT 154
ANAHEIM, CA 92804-5090
Phone number: 213-292-3137
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Mailing Address
BONGSUN SHIN
2648 W BALL RD APT 154
ANAHEIM, CA 92804-5090
Phone number:
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