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1184083651
JI MIN PARK
HICKSVILLE, NY
NPI
1184083651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 636354)
Enumeration Date
2016-02-12
Last Update Date
2016-02-12
Business Address
-- JI MIN PARK
20 JERUSALEM AVE FL 3
HICKSVILLE, NY 11801-4980
Phone number: 516-326-2020
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Mailing Address
-- JI MIN PARK
479 FRONT ST APT 2F
HEMPSTEAD, NY 11550-4229
Phone number:
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