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Individual

DR. JOOHEON PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1950 W CENTRE AVE, PORTAGE, MI 49024-5334
(269) 321-0664
Mailing address
1950 W CENTRE AVE, PORTAGE, MI 49024-5334
(269) 321-0664

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042831
MI

Other

Enumeration date
03/19/2019
Last updated
03/19/2019
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