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1700092103
CHAN HOON PARK
SLATERSVILLE, RI
NPI
1700092103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: RI MD 5083)
Enumeration Date
2007-05-15
Last Update Date
2008-02-26
Business Address
-- CHAN HOON PARK MD
905 VICTORY HWY
SLATERSVILLE, RI 02876
Phone number: 401-762-2728
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Mailing Address
-- CHAN HOON PARK MD
905 VICTORY HWY PO BOX 177
SLATERSVILLE, RI 02876
Phone number: 401-762-2728
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