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Individual

CASEY CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
26001 REDLANDS BLVD, REDLANDS, CA 92373-7762
(909) 825-7084
Mailing address
11273 TERRA VISTA PKWY APT D, RANCHO CUCAMONGA, CA 91730-7417

Taxonomy

Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1901
CA

Other

Enumeration date
03/29/2022
Last updated
03/29/2022
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