ANGE MONG LY

GRESHAM, OR
NPI1114248218
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD160078)
Enumeration Date2010-06-13
Last Update Date2013-07-05
Business Address
-- ANGE MONG LY M.D.
24800 SE STARK ST
GRESHAM, OR 97030-3378
Phone number: 503-674-1122
Mailing Address
-- ANGE MONG LY M.D.
24800 SE STARK ST
GRESHAM, OR 97030-3378
Phone number: 503-674-1122
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