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Individual
MRS. MYUNG N PARK I
Active
Individual
MRS. MYUNG N PARK I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA 60266949
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60266949
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 60266949
MA 60266949
—
Enumeration date
04/04/2012
Last updated
04/05/2012
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