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1497455869
LAWRENCE DAVID PARK
FRESNO, CA
NPI
1497455869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-03-06
Last Update Date
2023-04-24
Business Address
Mr. LAWRENCE DAVID PARK RADT R1503770423
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9040
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Mailing Address
Mr. LAWRENCE DAVID PARK RADT R1503770423
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9040
Copy
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