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1821104191
ELLEN S PARK
CLEVELAND, OH
NPI
1821104191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OH 35088198)
Enumeration Date
2006-08-21
Last Update Date
2008-02-21
Business Address
-- ELLEN S PARK MD
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 800-223-2273
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Mailing Address
-- ELLEN S PARK MD
6000 W CREEK RD SUITE 10
INDEPENDENCE, OH 44131-2139
Phone number: 800-223-2273
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