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1184645020
MAI T PHUNG
MUNCIE, IN
NPI
1184645020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 02002307A)
Enumeration Date
2006-07-23
Last Update Date
2010-02-24
Business Address
-- MAI T PHUNG D.O.
1910 W ROYALE DR
MUNCIE, IN 47304-2264
Phone number: 765-289-1011
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Mailing Address
-- MAI T PHUNG D.O.
1910 W ROYALE DR
MUNCIE, IN 47304-2264
Phone number: 765-289-1011
Copy
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