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1558925743
MICHELLE JUNGAE PARK
WINDER, GA
NPI
1558925743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 271767)
Enumeration Date
2019-04-24
Last Update Date
2022-05-17
Business Address
MICHELLE JUNGAE PARK NP-C
175 N BROAD ST
WINDER, GA 30680-2153
Phone number: 770-868-1144
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Mailing Address
MICHELLE JUNGAE PARK NP-C
8801 DAYFLOWER DR
OOLTEWAH, TN 37363-6932
Phone number: 314-660-2620
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