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1306417571
SALLY PARK
SANTA ANA, CA
NPI
1306417571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95017023)
Enumeration Date
2021-07-08
Last Update Date
2022-07-21
Business Address
SALLY PARK
1650 E 4TH ST STE 101
SANTA ANA, CA 92701-5159
Phone number: 714-525-8509
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Mailing Address
SALLY PARK
1650 E 4TH ST STE 101
SANTA ANA, CA 92701-5159
Phone number:
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