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1255034534
JUSTIN JONG-GENE PARK
IRVINE, CA
NPI
1255034534
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Former Name
JONG-GENE PARK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-24
Last Update Date
2023-03-24
Business Address
JUSTIN JONG-GENE PARK MD
71 HOMELAND
IRVINE, CA 92618-8801
Phone number: 949-680-6284
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Mailing Address
JUSTIN JONG-GENE PARK MD
71 HOMELAND
IRVINE, CA 92618-8801
Phone number:
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