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Individual
JUNGSIK SEO
Active
Individual
JUNGSIK SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95001214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP9001214
—
CA
Enumeration date
01/13/2015
Last updated
01/13/2015
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