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Individual
DR. SAMUEL PARK
Active
Individual
DR. SAMUEL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A127125
CA
Other
Enumeration date
07/12/2012
Last updated
02/14/2019
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