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1568712362
ELLEN PARK
SACRAMENTO, CA
NPI
1568712362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 14532)
Enumeration Date
2012-09-19
Last Update Date
2012-09-19
Business Address
-- ELLEN PARK O.D.
1689 ARDEN WAY
SACRAMENTO, CA 95815-4030
Phone number: 916-922-1977
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Mailing Address
-- ELLEN PARK O.D.
1689 ARDEN WAY
SACRAMENTO, CA 95815-4030
Phone number:
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