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1154860104
SUNG H PARK
CENTREVILLE, VA
NPI
1154860104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225000000X Orthotic Fitter
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
-- SUNG H PARK CFts
5602 OAKHAM PL
CENTREVILLE, VA 20120-5214
Phone number: 571-318-9711
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Mailing Address
-- SUNG H PARK CFts
5602 OAKHAM PL
CENTREVILLE, VA 20120-5214
Phone number: 571-318-9711
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