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1861050718
JEASUE JOSIE PARK
BRONX, NY
NPI
1861050718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
Dr. JEASUE JOSIE PARK
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453-8202
Phone number: 718-590-1800
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Mailing Address
Dr. JEASUE JOSIE PARK
15 BANK ST APT 106L
WHITE PLAINS, NY 10606-1982
Phone number: 352-283-1929
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