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Individual

CHRIS PARK

Active
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Individual

CHRIS PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RRT

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
011014
NY
227900000X
Registered Respiratory Therapist
Primary
RCP02003035
TX
227900000X
Registered Respiratory Therapist
RCP4215
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43645453
DRIVER LICENSE
TX
Enumeration date
07/22/2020
Last updated
07/22/2020
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