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1245337153
JERRY W. PARK
SPOKANE, WA
NPI
1245337153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OP00001729)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- JERRY W. PARK D.O.
9222 N NEWPORT HWY STE 1
SPOKANE, WA 99218-1235
Phone number: 509-467-4545
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Mailing Address
-- JERRY W. PARK D.O.
7511 N PANORAMA DR
SPOKANE, WA 99208-8431
Phone number: 509-466-3089
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