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1245960772
JI WOONG SHIN
IRVINE, CA
NPI
1245960772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-06-16
Last Update Date
2022-06-16
Business Address
JI WOONG SHIN
99 TALISMAN APT 712
IRVINE, CA 92620-3859
Phone number: 949-394-2929
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Mailing Address
JI WOONG SHIN
99 TALISMAN APT 712
IRVINE, CA 92620-3859
Phone number: 949-394-2929
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