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1104084912
MOON SOO PARK
HILO, HI
NPI
1104084912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: HI 2093)
Enumeration Date
2008-05-29
Last Update Date
2008-05-29
Business Address
Dr. MOON SOO PARK M.D.
33 LANIHULI ST
HILO, HI 96720-4142
Phone number: 808-935-4814
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Mailing Address
Dr. MOON SOO PARK M.D.
33 LANIHULI ST
HILO, HI 96720-4142
Phone number: 808-935-4814
Copy
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