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1316654064
JONATHAN LUN HOM
ANAHEIM, CA
NPI
1316654064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-11-02
Last Update Date
2024-02-23
Business Address
JONATHAN LUN HOM
631 S BROOKHURST ST STE 104
ANAHEIM, CA 92804-3510
Phone number: 714-620-8131
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Mailing Address
JONATHAN LUN HOM
18767 SAN FELIPE ST
FOUNTAIN VALLEY, CA 92708-7435
Phone number: 657-203-7807
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