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1952526972
JONG PARK
FAYETTEVILLE, AR
NPI
1952526972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: AR E5013)
Enumeration Date
2007-04-16
Last Update Date
2010-06-10
Business Address
-- JONG PARK MD
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703-4424
Phone number: 479-968-7930
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Mailing Address
-- JONG PARK MD
PO BOX 9178
RUSSELLVILLE, AR 72811
Phone number: 479-968-7930
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