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1154076099
IVAN YOUNG PARK
AUSTIN, TX
NPI
1154076099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX AP1072471)
Enumeration Date
2022-02-18
Last Update Date
2022-03-17
Business Address
IVAN YOUNG PARK APRN
1208 W 38TH ST
AUSTIN, TX 78705-1006
Phone number: 512-324-1000
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Mailing Address
IVAN YOUNG PARK APRN
9811 OAK RUN DR
AUSTIN, TX 78758-5545
Phone number: 512-598-5840
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