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1740235977
MICHAEL CHARLES PARK
AUBURN, CA
NPI
1740235977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA16794)
Enumeration Date
2006-05-24
Last Update Date
2017-05-12
Business Address
-- MICHAEL CHARLES PARK PA-C
3133 PROFESSIONAL DR SUITE 20
AUBURN, CA 95603-2463
Phone number: 530-885-8821
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Mailing Address
-- MICHAEL CHARLES PARK PA-C
10470 OLD PLACERVILLE RD STE 100
SACRAMENTO, CA 95827-2539
Phone number: 855-771-0335
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