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1659974558
JAEOH PARK
BUFFALO GROVE, IL
NPI
1659974558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: IL 238853)
Enumeration Date
2020-11-21
Last Update Date
2020-11-21
Business Address
JAEOH PARK
436 WHITE PINE RD
BUFFALO GROVE, IL 60089-3326
Phone number: 224-433-0992
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Mailing Address
JAEOH PARK
436 WHITE PINE RD
BUFFALO GROVE, IL 60089-3326
Phone number: 224-433-0992
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