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1215088240
DONGHO PARK
URBANA, IL
NPI
1215088240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209004774)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
-- DONGHO PARK N.P.
602 W UNIVERSITY AVE
URBANA, IL 61801-2530
Phone number: 217-383-3311
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Mailing Address
-- DONGHO PARK N.P.
602 W UNIVERSITY AVE
URBANA, IL 61801-2530
Phone number: 217-383-3311
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