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1144008467
JOON TAE HWANG
SAN DIEGO, CA
NPI
1144008467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
JOON TAE HWANG IDC
NAVY MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA 92134-0001
Phone number: 747-257-7504
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Mailing Address
JOON TAE HWANG IDC
438 W DRYDEN ST APT 2
GLENDALE, CA 91202-2351
Phone number: 747-257-7504
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