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1417503830
JOHN PARK
SANTA CLARA, CA
NPI
1417503830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OT019677)
Enumeration Date
2019-08-12
Last Update Date
2024-01-11
Business Address
JOHN PARK
710 LAWRENCE EXPY
SANTA CLARA, CA 95051-5173
Phone number: 781-879-9774
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Mailing Address
JOHN PARK
710 LAWRENCE EXPY DEPT 472
SANTA CLARA, CA 95051-5173
Phone number: 408-554-9800
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