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JACKLYN JUNG

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1053081620

Individual Registrant:
 JACKLYN  JUNG 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1441 SANTA ANITA AVE  SOUTH EL MONTE, CA 91733-3311 US
Tel: 213-309-3388  Fax: --

Contact information for business:
401 W LINCOLN AVE  MONTEBELLO, CA 90640-3524 US
Tel: 213-309-3388  Fax: --

Registration Information:
NPI: 1053081620
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program
CAC228102

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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