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Individual
HAESU JIN
Active
Individual
HAESU JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
95349576
CA
363L00000X
Nurse Practitioner
Primary
95031315
CA
363LA2100X
Acute Care Nurse Practitioner
95031315
CA
Other
Enumeration date
05/16/2024
Last updated
10/18/2024
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