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Individual

DEBORA LYNN PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6135 KING ROAD, SUITE A, LOOMIS, CA 95650-8877
(916) 652-0427
(916) 652-4197
Mailing address
6135 KING ROAD, SUITE A, LOOMIS, CA 95650-8877
(916) 652-0427
(916) 652-4197

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHP72501
CA

Other

Enumeration date
08/09/2006
Last updated
07/08/2007
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