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1528140928
SUSANNA JUNG-A PARK
SAN DIEGO, CA
NPI
1528140928
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Other Name
SUSANNA PARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA 54916)
Enumeration Date
2006-10-19
Last Update Date
2012-04-04
Business Address
DR. SUSANNA JUNG-A PARK MD
11515 EL CAMINO REAL SUITE 100
SAN DIEGO, CA 92130-2045
Phone number: 858-794-6363
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Mailing Address
DR. SUSANNA JUNG-A PARK MD
11515 EL CAMINO REAL SUITE 100
SAN DIEGO, CA 92130-2045
Phone number: 858-794-6363
Copy
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