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1376265546
DEREK HWAN CHUNG
LOS ANGELES, CA
NPI
1376265546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT42343)
Enumeration Date
2022-09-14
Last Update Date
2024-12-20
Business Address
DEREK HWAN CHUNG LPT 42343
840 N AVENUE 66
LOS ANGELES, CA 90042-1508
Phone number: 626-517-2368
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Mailing Address
DEREK HWAN CHUNG LPT 42343
840 N AVENUE 66
LOS ANGELES, CA 90042-1508
Phone number: 626-517-2368
Copy
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