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Individual
WOOKEUN JEONG
Active
Individual
WOOKEUN JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104556916
VA
111N00000X
Chiropractor
3455
NC
111N00000X
Chiropractor
Primary
S03677
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08703
BCBS
—
Enumeration date
08/30/2006
Last updated
07/03/2012
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