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1629518246
CHIN JUNG JIEN CHANG
SAN DIEGO, CA
NPI
1629518246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95005509)
Enumeration Date
2017-03-01
Last Update Date
2024-09-23
Business Address
CHIN JUNG JIEN CHANG
501 WASHINGTON ST
SAN DIEGO, CA 92103-2231
Phone number: 619-278-3360
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Mailing Address
CHIN JUNG JIEN CHANG
10790 RANCHO BERNARDO RD MAIL DROP 4S-205
SAN DIEGO, CA 92127-5705
Phone number: 619-278-3300
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