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1659994473
MICAH PARK
LUBBOCK, TX
NPI
1659994473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-05-27
Last Update Date
2020-05-27
Business Address
MICAH PARK MD
3601 4TH ST STOP 8103
LUBBOCK, TX 79430-8103
Phone number: 806-743-6162
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Mailing Address
MICAH PARK MD
3601 4TH ST STOP 8103
LUBBOCK, TX 79430-8103
Phone number: 806-743-6162
Copy
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