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1336284157
JAE RYONG SHIN
VISTA, CA
NPI
1336284157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
JAE RYONG SHIN
550 W VISTA WAY STE 206
VISTA, CA 92083-5736
Phone number: 760-724-9112
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Mailing Address
JAE RYONG SHIN
3030 FRUITLAND DR
VISTA, CA 92084-1504
Phone number: 760-758-9086
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