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Individual
MR. JUNE PARK
Active
Individual
MR. JUNE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02390
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166298
NATIONAL CERTIFICATION COMMISSION FOR ACUPUNCTURE AND ORIENTAL MEDICINE
—
Enumeration date
10/24/2018
Last updated
01/27/2019
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