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1275200396
HEESOO SOH
FORT IRWIN, CA
NPI
1275200396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: HI 1185911)
Enumeration Date
2021-08-26
Last Update Date
2024-07-16
Business Address
HEESOO SOH
BLDG 390 N LOOP RD
FORT IRWIN, CA 92310
Phone number: 714-726-2755
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Mailing Address
HEESOO SOH
BLDG 390 N LOOP RD
FORT IRWIN, CA 92310
Phone number:
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