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1063605988
JOHN PARK
SANTA MARIA, CA
NPI
1063605988
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Other Name
CALE PARK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-08-23
Last Update Date
2007-08-23
Business Address
-- JOHN PARK
600 UNION AVE APT B
SANTA MARIA, CA 93455-5327
Phone number: 805-937-2826
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Mailing Address
-- JOHN PARK
3840 ORCUTT GAREY RD
SANTA MARIA, CA 93454-9629
Phone number: 805-937-2826
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