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1689391708
TIMOTHY SHIN
SAN PEDRO, CA
NPI
1689391708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-10-20
Last Update Date
2022-10-20
Business Address
TIMOTHY SHIN
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-503-7144
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Mailing Address
TIMOTHY SHIN
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-503-7144
Copy
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