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1184048001
PETER PARK
LOS ANGELES, CA
NPI
1184048001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-02-12
Last Update Date
2014-02-12
Business Address
-- PETER PARK
2500 WILSHIRE BLVD STE 500
LOS ANGELES, CA 90057-4310
Phone number: 213-639-2665
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Mailing Address
-- PETER PARK
330 S BERENDO ST APT 119
LOS ANGELES, CA 90020-2039
Phone number:
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