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1851902589
JONGBAE JANG
LOS ANGELES, CA
NPI
1851902589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA INT46609)
Enumeration Date
2020-08-15
Last Update Date
2020-08-15
Business Address
JONGBAE JANG
1985 ZONAL AVE
LOS ANGELES, CA 90089-4994
Phone number: 323-442-1369
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Mailing Address
JONGBAE JANG
453 WHITE BARK LN
SIMI VALLEY, CA 93065-4994
Phone number: 805-616-0462
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