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1538176201
SUE ANN PARK
VISTA, CA
NPI
1538176201
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Former Name
SUE ANN LEE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A64003)
Enumeration Date
2006-08-02
Last Update Date
2009-05-04
Business Address
-- SUE ANN PARK MD
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 760-631-5000
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Mailing Address
-- SUE ANN PARK MD
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 760-631-5000
Copy
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