Individual
JONG HYE LEEPARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7322 158TH ST W, APPLE VALLEY, MN 55124-5938
(952) 431-0874
Mailing address
7322 158TH ST W, APPLE VALLEY, MN 55124-5938
(952) 431-0874
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 168127-9
MN
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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