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1356857387
EDWARD JONGEUN SHIN
RIVERSIDE, CA
NPI
1356857387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 40646)
Enumeration Date
2017-12-28
Last Update Date
2017-12-28
Business Address
EDWARD JONGEUN SHIN
2085 RUSTIN AVE SUITE 2002
RIVERSIDE, CA 92507
Phone number: 951-955-7320
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Mailing Address
EDWARD JONGEUN SHIN
136 N LOHRUM LN
ANAHEIM, CA 92807-3114
Phone number: 951-955-7320
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