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1730793795
JEANNIE PARK
SACRAMENTO, CA
NPI
1730793795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-09-06
Last Update Date
2020-09-06
Business Address
JEANNIE PARK
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 916-816-1287
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Mailing Address
JEANNIE PARK
2915 57TH ST
SACRAMENTO, CA 95817-2404
Phone number:
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