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1013972702
JAI S PARK
SAINT LOUIS, MO
NPI
1013972702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine
(Licence: MO 35615)
Enumeration Date
2006-04-18
Last Update Date
2013-05-15
Business Address
Dr. JAI S PARK M.D.
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125-4181
Phone number: 314-652-4100
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Mailing Address
Dr. JAI S PARK M.D.
310 LINCOLN ST
WATERLOO, IL 62298-1613
Phone number: 618-939-8161
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