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1114487360
KY VIET DONG QUACH
WACO, TX
NPI
1114487360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TX V1589)
Enumeration Date
2019-03-23
Last Update Date
2025-01-20
Business Address
KY VIET DONG QUACH DO
205 WOODHEW DR STE 220205
WACO, TX 76712-6689
Phone number: 254-245-9175
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Mailing Address
KY VIET DONG QUACH DO
PO BOX 11538
KILLEEN, TX 76547-1538
Phone number: 254-245-9178
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