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1215570049
KEVIN SHIN
YORBA LINDA, CA
NPI
1215570049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 297350)
Enumeration Date
2019-10-24
Last Update Date
2019-10-24
Business Address
KEVIN SHIN
23655 VIA DEL RIO STE C
YORBA LINDA, CA 92887-2718
Phone number: 714-695-1566
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Mailing Address
KEVIN SHIN
4529 RIVER PARK CT
RIVERSIDE, CA 92505-5150
Phone number: 510-544-9118
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