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1134824717
LONG-QUAN DUC PHAM
ROANOKE, VA
NPI
1134824717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
LONG-QUAN DUC PHAM
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
LONG-QUAN DUC PHAM
1128 BRATTLEBORO ARCH
VIRGINIA BEACH, VA 23464-5833
Phone number:
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