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1750772257
JIWON BACK
FULLERTON, CA
NPI
1750772257
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Other Name
DAISY BACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 93786)
Enumeration Date
2015-02-05
Last Update Date
2023-01-23
Business Address
JIWON BACK
112 E AMERIGE AVE STE 209
FULLERTON, CA 92832-1920
Phone number: 714-253-4506
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Mailing Address
JIWON BACK
112 E AMERIGE AVE STE 209
FULLERTON, CA 92832-1920
Phone number: 714-253-4506
Copy
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