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1669097572
JISUN PARK
SEATTLE, WA
NPI
1669097572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA 86064132)
Enumeration Date
2020-06-16
Last Update Date
2020-06-16
Business Address
JISUN PARK
747 BROADWAY
SEATTLE, WA 98122-4379
Phone number: 202-714-2893
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Mailing Address
JISUN PARK
130 NE 95TH ST APT A307
SEATTLE, WA 98115-2056
Phone number: 202-714-2893
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