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1578229324
JAE KWAN PARK
LITTLE NECK, NY
NPI
1578229324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: NY 005860)
Enumeration Date
2021-11-15
Last Update Date
2021-11-15
Business Address
JAE KWAN PARK
5715 256TH ST
LITTLE NECK, NY 11362-2140
Phone number: 917-545-3143
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Mailing Address
JAE KWAN PARK
5715 256TH ST
LITTLE NECK, NY 11362-2140
Phone number: 917-545-3143
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