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1144828963
CHAN HO PARK
LOS ANGELES, CA
NPI
1144828963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-10-14
Last Update Date
2020-10-14
Business Address
CHAN HO PARK PA-C
4721 OAKWOOD AVE
LOS ANGELES, CA 90004-3112
Phone number: 206-660-7988
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Mailing Address
CHAN HO PARK PA-C
4721 OAKWOOD AVE
LOS ANGELES, CA 90004-3112
Phone number: 206-660-7988
Copy
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