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1700358116
YOUNG EUN SONG
BUENA PARK, CA
NPI
1700358116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 95010329)
Enumeration Date
2018-12-24
Last Update Date
2018-12-24
Business Address
YOUNG EUN SONG
6261 STANTON AVE
BUENA PARK, CA 90621-2436
Phone number: 714-739-4325
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Mailing Address
YOUNG EUN SONG
2101 CRESCENT OAK
IRVINE, CA 92618-4019
Phone number:
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