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1124686514
MONGTU THI NGO
MADISON, WI
NPI
1124686514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WI 4928-23)
Enumeration Date
2019-05-31
Last Update Date
2023-05-01
Business Address
Miss MONGTU THI NGO PA-C
22 N FRANKLIN ST APT A2
MADISON, WI 53703-2345
Phone number: 248-633-3177
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Mailing Address
Miss MONGTU THI NGO PA-C
22 N FRANKLIN ST APT A2
MADISON, WI 53703-2345
Phone number: 248-633-3177
Copy
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