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1043047160
JOHANN CHRISTIAN PARK
ELK GROVE, CA
NPI
1043047160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-09-14
Last Update Date
2024-09-14
Business Address
JOHANN CHRISTIAN PARK
9700 W TARON DR
ELK GROVE, CA 95757-8145
Phone number: 916-686-7300
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Mailing Address
JOHANN CHRISTIAN PARK
8977 LUNA BAY WAY
SACRAMENTO, CA 95829-9529
Phone number:
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