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1164484028
PARK BRIAN MICKELSON
LANCASTER, CA
NPI
1164484028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA DC24507)
Enumeration Date
2006-04-05
Last Update Date
2007-07-08
Business Address
DR. PARK BRIAN MICKELSON DC
1314 W AVE J
LANCASTER, CA 93534-2936
Phone number: 661-945-4441
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Mailing Address
DR. PARK BRIAN MICKELSON DC
1314 W AVE J
LANCASTER, CA 93534-2936
Phone number: 661-945-4441
Copy
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