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1720077217
YOUNG JA PARK
APO, AP
NPI
1720077217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: NY 133910-1)
Enumeration Date
2005-10-18
Last Update Date
2022-07-21
Business Address
Dr. YOUNG JA PARK
18TH MEDCOM ATTS: DCCS-QM (CREDENTIALS)
APO, AP 96205-0054
Phone number: 011-822-7916
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Mailing Address
Dr. YOUNG JA PARK
18TH MEDCOM ATTN: DCCS-QM (CREDENTIALS)
APO, AP 96295-0054
Phone number: 011-822-7916
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