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1508335209
JINA PARK
TACOMA, WA
NPI
1508335209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TX 345112)
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
JINA PARK
9040 JACKSON AVE ATTN: ACHJ-CLQ-C
TACOMA, WA 98433
Phone number: 253-986-0982
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Mailing Address
JINA PARK
9138 MIL PARK 108
TACOMA, WA 98433
Phone number: 213-663-3164
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