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1144809476
DARREL TAN PHONG
KETTERING, OH
NPI
1144809476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OH 34.017035)
Enumeration Date
2021-04-05
Last Update Date
2024-07-16
Business Address
DARREL TAN PHONG DO
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-395-8166
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Mailing Address
DARREL TAN PHONG DO
3131 NEWMARK DR STE 220
MIAMISBURG, OH 45342-5400
Phone number: 937-438-8910
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