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1114422631
HAELI PARK
LODI, CA
NPI
1114422631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A163831)
Enumeration Date
2018-03-27
Last Update Date
2021-08-01
Business Address
Dr. HAELI PARK MD
975 S FAIRMONT AVE
LODI, CA 95240-5118
Phone number: 209-339-7639
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Mailing Address
Dr. HAELI PARK MD
2300 STOCKTON BLVD STE 1700
SACRAMENTO, CA 95817-2202
Phone number: 209-339-7639
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