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Individual

JULIAN SESAM PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
100 TECHNOLOGY CENTER DR, STOUGHTON, MA 02072-4710
(781) 566-5066
Mailing address
5515 MONTEREY RD, LOS ANGELES, CA 90042-4919
(909) 282-9030

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238916
MA

Other

Enumeration date
07/27/2019
Last updated
08/24/2023
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