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1053614743
PHUONG T NGUYEN
WAUWATOSA, WI
NPI
1053614743
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Entity Type
Organization
Authorized Contact
PHUONG THI NGUYEN
Registered Nurse
414-258-2005
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2010-12-17
Last Update Date
2022-07-21
Business Address
PHUONG T NGUYEN
8600 RAVENSWOOD CIR
WAUWATOSA, WI 53226-4658
Phone number: 414-258-2005
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Mailing Address
PHUONG T NGUYEN
8600 RAVENSWOOD CIR
WAUWATOSA, WI 53226-4658
Phone number: 414-258-2005
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