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1245563378
MATHEW PARK
ALAMEDA, CA
NPI
1245563378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2009-09-08
Last Update Date
2009-09-08
Business Address
Mr. MATHEW PARK
73 APPLEGATE WAY
ALAMEDA, CA 94502-7714
Phone number: 510-205-7000
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Mailing Address
Mr. MATHEW PARK
73 APPLEGATE WAY
ALAMEDA, CA 94502-7714
Phone number: 510-205-7000
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