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1497146351
JIYOUN LEAH PARK
TUCKER, GA
NPI
1497146351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2015-02-13
Last Update Date
2015-07-15
Business Address
-- JIYOUN LEAH PARK PA
1468 MONTREAL RD
TUCKER, GA 30084-6901
Phone number: 770-638-1400
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Mailing Address
-- JIYOUN LEAH PARK PA
1468 MONTREAL RD
TUCKER, GA 30084-6901
Phone number: 770-638-1400
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