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1417214750
PETER PARK
MONTEBELLO, CA
NPI
1417214750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NX0800X Chiropractor, Orthopedic
(Licence: CA DC32033)
Enumeration Date
2012-04-11
Last Update Date
2012-04-11
Business Address
Mr. PETER PARK D.C
1800 W BEVERLY BLVD STE 101
MONTEBELLO, CA 90640-3964
Phone number: 323-516-6252
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Mailing Address
Mr. PETER PARK D.C
1800 W BEVERLY BLVD STE 101
MONTEBELLO, CA 90640-3964
Phone number: 323-516-6252
Copy
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