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1649036104
MINJAE PARK
FORT GORDON, GA
NPI
1649036104
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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
2024-02-22
Last Update Date
2024-02-22
Business Address
MINJAE PARK
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905-5650
Phone number: 706-787-2090
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Mailing Address
MINJAE PARK
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905-5650
Phone number:
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