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1790724904
MICHAEL PARK
PINEHURST, NC
NPI
1790724904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NC 103478)
Enumeration Date
2006-06-05
Last Update Date
2021-05-24
Business Address
MICHAEL PARK
30 MEMORIAL DR SUITE 3950
PINEHURST, NC 28374-8707
Phone number: 910-295-4400
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Mailing Address
MICHAEL PARK
30 MEMORIAL DR SUITE 3950
PINEHURST, NC 28374-8707
Phone number:
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