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SE HUN PARK, ATC

ATC

Physician Assistant

NPI: 1356717789IndividualAccepts Medicare

Specialties, Licenses & Credentials

Athletic Trainer

Specialist/Technologist — Athletic Trainer

Code: 2255A2300X

2015022932(MO)
Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

CMS Specialties

Education

OTHER

Class of 2023

Contact & Hours

Address
3401 W GORE BLVD
LAWTON, OK 73505

Quick Facts

NPI
1356717789
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
3

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