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Individual

GRYPHON KIEN JUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1121 BALDWIN ST, SALINAS, CA 93906-3678
(831) 443-0249
Mailing address
1121 BALDWIN ST, SALINAS, CA 93906-3678
(831) 443-0249

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
90224197D46222
CA
Enumeration date
10/06/2022
Last updated
10/06/2022
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