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1023793700
BAO VANG
MANITOWOC, WI
NPI
1023793700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
BAO VANG
1340 S 25TH ST
MANITOWOC, WI 54220-5525
Phone number: 920-242-8465
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Mailing Address
BAO VANG
1340 S 25TH ST
MANITOWOC, WI 54220-5525
Phone number:
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