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Individual

DR. BYUNGHO JUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
427 ALDER ST, MOUNT SHASTA, CA 96067-2306
(530) 918-7203
Mailing address
PO BOX 557, MOUNT SHASTA, CA 96067-0557
(530) 918-7203

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 24038
CA

Other

Enumeration date
05/07/2012
Last updated
05/07/2012
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