SANGDAE PARK

SEBASTOPOL, CA
NPI1922543875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  43130)
Enumeration Date2017-01-02
Last Update Date2017-01-02
Business Address
-- SANGDAE PARK
556 LYDING LN
SEBASTOPOL, CA 95472-3311
Phone number: 202-870-0644
Mailing Address
-- SANGDAE PARK
556 LYDING LN
SEBASTOPOL, CA 95472-3311
Phone number:
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