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Jungha Back
Optician in Montgomery, Alabama
NPI 1376250720

Jungha Back is a Optician based in Montgomery, AL and is specialized in Optician. Jungha Back practices in Montgomery, AL. The NPI Number for Jungha Back is 1376250720 and holds a License No. 232077 (Alabama).

The current practice location address for Jungha Back is 1726 W 3Rd St, Montgomery, AL and can be reached out via phone at 334-593-3932 and via fax at 334-593-7715.

Location: 1726 W 3Rd St, Montgomery, AL, 36106-1506
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Provider Profile Details
NPI Number
1376250720
Provider Name
Jungha Back
Credential
Provider Entity Type
Individual
Gender
Male
Address
1726 W 3Rd St, Montgomery, AL, 36106-1506
Phone Number
334-593-3932
Fax Number
334-593-7715
Provider Enumeration Date
11/03/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225700230 05 AL
276390 05 AL
institution
Provider Business Practice Location Address Details
Address
1726 W 3Rd St
City
State
Zip
36106-1506
Phone Number
334-593-3932
Fax Number
334-593-7715
person
Provider Business Mailing Address Details
Address
1726 W 3Rd St
City
State
Zip
36106-1506
Phone Number
334-593-3932
Fax Number
334-593-7715
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
232077 (Alabama)
Definition
Definition to come...
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