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1528009859
UI HO PARK
ACWORTH, GA
NPI
1528009859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: GA 018938)
Enumeration Date
2006-06-09
Last Update Date
2010-10-27
Business Address
Dr. UI HO PARK M.D.
3889 COBB PKWY NW
ACWORTH, GA 30101-4084
Phone number: 770-975-1299
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Mailing Address
Dr. UI HO PARK M.D.
3889 COBB PKWY NW
ACWORTH, GA 30101-4084
Phone number: 770-975-1299
Copy
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