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1528273075
SEONGAE PARK
JERSEY CITY, NJ
NPI
1528273075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NJ 26NJ00112200)
Enumeration Date
2007-05-10
Last Update Date
2009-11-24
Business Address
-- SEONGAE PARK
1825 KENNEDY BOULEVARD
JERSEY CITY, NJ 07305
Phone number: 201-547-6100
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Mailing Address
-- SEONGAE PARK
1491 CARLISLE RD
NORTH BRUNSWICK, NJ 08902-1465
Phone number:
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