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Individual
SOONJOO JEONG
Active
Individual
SOONJOO JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LA.C, DIPL.AC.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC9270
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019220
NCCAOM ID #
—
01
—
AC9270
CALIFORNIA LICENSE
CA
Enumeration date
02/12/2007
Last updated
01/22/2013
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