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1548442866
SUNG S PARK
BLOOMINGTON, IN
NPI
1548442866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IN 71000610)
Enumeration Date
2007-11-28
Last Update Date
2011-02-08
Business Address
-- SUNG S PARK NP
811 W 2ND ST
BLOOMINGTON, IN 47403-2251
Phone number: 812-333-4001
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Mailing Address
-- SUNG S PARK NP
811 W 2ND ST
BLOOMINGTON, IN 47403-2251
Phone number: 812-333-4001
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