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1376250720
JUNGHA BACK
MONTGOMERY, AL
NPI
1376250720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: AL 232077)
Enumeration Date
2022-11-03
Last Update Date
2022-11-03
Business Address
JUNGHA BACK
1726 W 3RD ST
MONTGOMERY, AL 36106-1506
Phone number: 334-593-3932
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Mailing Address
JUNGHA BACK
1726 W 3RD ST
MONTGOMERY, AL 36106-1506
Phone number: 334-593-3932
Copy
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