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Individual
HEESOO JEONG
Active
Individual
HEESOO JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
105825
CA
207R00000X
Internal Medicine Physician
41808
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2008
Last updated
06/22/2014
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