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1699946434
ELVIN PARK, NP
THOUSAND OAKS, CA
NPI
1699946434
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Entity Type
Organization
Authorized Contact
ELVIN PARK
CEO
805-701-1437
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 11908)
Enumeration Date
2008-03-20
Last Update Date
2009-04-24
Business Address
ELVIN PARK, NP
1534 N MOORPARK RD # 327
THOUSAND OAKS, CA 91360-5129
Phone number: 805-701-1437
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Mailing Address
ELVIN PARK, NP
1534 N MOORPARK RD # 327
THOUSAND OAKS, CA 91360-5129
Phone number:
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