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1558700187
JA EUN KOO
LOMA LINDA, CA
NPI
1558700187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A137368)
Enumeration Date
2013-06-17
Last Update Date
2018-07-01
Business Address
JA EUN KOO
11234 ANDERSON ST
LOMA LINDA, CA 92354
Phone number: 909-558-4000
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Mailing Address
JA EUN KOO
11234 ANDERSON ST # MC-1516
LOMA LINDA, CA 92354-2804
Phone number:
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