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1184614638
SUSAN E PARK
SOUTH BEND, IN
NPI
1184614638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: IN 01052506A)
Enumeration Date
2005-10-26
Last Update Date
2016-08-03
Business Address
Dr. SUSAN E PARK MD
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-237-9334
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Mailing Address
Dr. SUSAN E PARK MD
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-237-9334
Copy
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