SUNG S PARK

BLOOMINGTON, IN
NPI1548442866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  71000610)
Enumeration Date2007-11-28
Last Update Date2011-02-08
Business Address
-- SUNG S PARK NP
811 W 2ND ST
BLOOMINGTON, IN 47403-2251
Phone number: 812-333-4001
Mailing Address
-- SUNG S PARK NP
811 W 2ND ST
BLOOMINGTON, IN 47403-2251
Phone number: 812-333-4001
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