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1578827580
SANGMO PARK
FARMINGTON, CT
NPI
1578827580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-06-25
Last Update Date
2012-07-05
Business Address
-- SANGMO PARK M.D
263 FARMINGTON AVE GERIATRICS ASSOCIATES MC 6232 UCONN HEALTH CTR
FARMINGTON, CT 06032-1956
Phone number: 860-679-3958
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Mailing Address
-- SANGMO PARK M.D
20 STEVEN ST APARTMENT C
WEST HARTFORD, CT 06110-2620
Phone number: 203-695-8498
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