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1215674551
HENRY CHANG
MORENO VALLEY, CA
NPI
1215674551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-18
Last Update Date
2022-05-18
Business Address
HENRY CHANG DO
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: 949-579-0489
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Mailing Address
HENRY CHANG DO
21 SANTA RIDA
IRVINE, CA 92606-8874
Phone number:
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