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1043857162
JONGHO PARK
SAN RAFAEL, CA
NPI
1043857162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA RPH81423)
Enumeration Date
2019-12-09
Last Update Date
2019-12-09
Business Address
JONGHO PARK
442 LAS GALLINAS AVE
SAN RAFAEL, CA 94903-3618
Phone number: 415-479-9171
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Mailing Address
JONGHO PARK
442 LAS GALLINAS AVE
SAN RAFAEL, CA 94903-3618
Phone number:
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