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1083338479
VIVIAN SHALOM CHUNG
RIVERSIDE, CA
NPI
1083338479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
VIVIAN SHALOM CHUNG
4300 LATHAM ST STE 200
RIVERSIDE, CA 92501-4334
Phone number: 818-235-1414
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Mailing Address
VIVIAN SHALOM CHUNG
7226 SEPULVEDA BLVD
VAN NUYS, CA 91405-2003
Phone number: 818-235-1414
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