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1104865849
CHAN PARK MD INC
SLATERSVILLE, RI
NPI
1104865849
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Entity Type
Organization
Authorized Contact
CHAN HOON PARK
Owner
401-762-2728
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: RI MD5083)
Enumeration Date
2006-06-06
Last Update Date
2008-02-26
Business Address
CHAN PARK MD INC
905 VICTORY HIGHWAY
SLATERSVILLE, RI 02876
Phone number: 401-762-2728
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Mailing Address
CHAN PARK MD INC
PO BOX 177 905 VICTORY HWY
SLATERSVILLE, RI 02876
Phone number: 401-762-2728
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