JAEYEON PARK

PROVO, UT
NPI1306252119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: UT  8895065-3102)
Enumeration Date2014-07-02
Last Update Date2014-07-02
Business Address
-- JAEYEON PARK
750 N 200 W
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
-- JAEYEON PARK
750 N 200 W
PROVO, UT 84601-1677
Phone number: 801-373-4760
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