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Individual

SEUNGKYU BRIAN PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-9262
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary

Other

Enumeration date
02/09/2024
Last updated
07/28/2025
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