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1588280374
RICHARD PARKE
SANTA ROSA, CA
NPI
1588280374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95012367)
Enumeration Date
2020-06-17
Last Update Date
2020-06-17
Business Address
RICHARD PARKE
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403-1436
Phone number: 707-576-4000
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Mailing Address
RICHARD PARKE
1555 LOS OLIVOS RD
SANTA ROSA, CA 95404-2010
Phone number: 317-985-9796
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