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1003820010
JANIE PARK
MESA, AZ
NPI
1003820010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: AZ RN 032660)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
JANIE PARK RNFA
604 W MEDINA AVE
MESA, AZ 85210-6848
Phone number: 480-545-2610
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Mailing Address
JANIE PARK RNFA
604 W MEDINA AVE
MESA, AZ 85210-6848
Phone number: 480-545-2610
Copy
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