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Individual
KYOUNG JIN PARK
Active
Individual
KYOUNG JIN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
64768
CA
Other
Enumeration date
07/26/2010
Last updated
06/10/2014
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