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1164907994
CHAE U. SHIN
VISTA, CA
NPI
1164907994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
Mr. CHAE U. SHIN
2260 WATSON WAY
VISTA, CA 92083-7924
Phone number: 760-599-1892
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Mailing Address
Mr. CHAE U. SHIN
4751 GARDENIA ST
OCEANSIDE, CA 92057-6143
Phone number: 760-505-8400
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