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1275372377
JAY JEONG WOO VAN
LOS ANGELES, CA
NPI
1275372377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95028238)
Enumeration Date
2024-05-20
Last Update Date
2024-10-07
Business Address
JAY JEONG WOO VAN NP
700 S FLOWER ST STE 2340
LOS ANGELES, CA 90017-4123
Phone number: 888-663-6331
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Mailing Address
JAY JEONG WOO VAN NP
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO, CA 94111-3723
Phone number: 415-658-6791
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