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1104387000
JENNY JEONGWON SHIN
GLENDALE, CA
NPI
1104387000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA RPH79608)
Enumeration Date
2019-03-26
Last Update Date
2019-03-26
Business Address
JENNY JEONGWON SHIN pharmD
1509 WILSON TER
GLENDALE, CA 91206-4007
Phone number: 818-409-8000
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Mailing Address
JENNY JEONGWON SHIN pharmD
13117 PORTOLA WAY
SYLMAR, CA 91342-3459
Phone number: 818-521-9341
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