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1013160548
LANA NGOC PHO
SALT LAKE CITY, UT
NPI
1013160548
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Former Name
THANH LAN NGOC PHO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: UT 51102031205)
Enumeration Date
2008-10-28
Last Update Date
2021-09-15
Business Address
DR. LANA NGOC PHO M.D.
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-1102
Phone number: 801-587-6340
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Mailing Address
DR. LANA NGOC PHO M.D.
PO BOX 3208
SALT LAKE CITY, UT 84110-3208
Phone number: 801-587-6340
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