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1497537161
JOSHUA JAEYOON PARK
TILLAMOOK, OR
NPI
1497537161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D11897)
Enumeration Date
2023-10-18
Last Update Date
2023-10-18
Business Address
JOSHUA JAEYOON PARK
1010 MAIN AVE
TILLAMOOK, OR 97141-3818
Phone number: 503-842-7788
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Mailing Address
JOSHUA JAEYOON PARK
26086 LUGO DR
LOMA LINDA, CA 92354-6507
Phone number:
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