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1023504263
DIANA LAVINDER NGUYEN
DURHAM, NC
NPI
1023504263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC NC2700)
Enumeration Date
2018-07-10
Last Update Date
2018-07-10
Business Address
Miss DIANA LAVINDER NGUYEN ATC
120 WILLIAM PENN PLZ
DURHAM, NC 27704-2150
Phone number: 919-220-5255
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Mailing Address
Miss DIANA LAVINDER NGUYEN ATC
1021 TIDINGS RD
LELAND, NC 28451-9191
Phone number: 336-501-0541
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