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1093920944
CUONG TAN DOAN
STATESVILLE, NC
NPI
1093920944
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Entity Type
Organization
Authorized Contact
CUONG TAN DOAN
Owber
800-409-2919
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 200601854)
Enumeration Date
2007-05-14
Last Update Date
2007-09-26
Business Address
CUONG TAN DOAN
557 BROOKDALE DR
STATESVILLE, NC 28677-4107
Phone number: 800-409-2919
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Mailing Address
CUONG TAN DOAN
172 DEER RUN DR
TROUTMAN, NC 28166-7653
Phone number: 800-409-2919
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