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1275986986
JAESOON KATIE CHA
FORT HUACHUCA, AZ
NPI
1275986986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CA VN221010)
Enumeration Date
2016-07-18
Last Update Date
2016-07-18
Business Address
Ms. JAESOON KATIE CHA LPN
716 FULLER ST
FORT HUACHUCA, AZ 85613-1624
Phone number: 520-533-9113
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Mailing Address
Ms. JAESOON KATIE CHA LPN
716 FULLER ST
FORT HUACHUCA, AZ 85613-1624
Phone number: 520-533-9113
Copy
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