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1710181854
SAMUEL WAN PARK
MISSION VIEJO, CA
NPI
1710181854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: CA a96320)
Enumeration Date
2007-06-13
Last Update Date
2020-02-17
Business Address
SAMUEL WAN PARK MD
26730 CROWN VALLEY PKWY SUITE 200
MISSION VIEJO, CA 92691
Phone number: 949-364-2154
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Mailing Address
SAMUEL WAN PARK MD
26730 CROWN VALLEY PKWY SUITE 200
MISSION VIEJO, CA 92691-6364
Phone number: 949-364-2154
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