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Individual
JIWON BAE
Active
Individual
JIWON BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
36057
CA
171100000X
Acupuncturist
Primary
20011
CA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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