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1932498722
CHAN JEROME PARK
LAS VEGAS, NV
NPI
1932498722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: NV 20992)
Enumeration Date
2011-03-31
Last Update Date
2024-10-30
Business Address
CHAN JEROME PARK MD, PhD
7190 S CIMARRON RD
LAS VEGAS, NV 89113-2171
Phone number: 702-675-3240
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Mailing Address
CHAN JEROME PARK MD, PhD
PO BOX 33269
PHOENIX, AZ 85067-3269
Phone number: 602-406-4786
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