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1184658635
THANH DAI VO
SHREVEPORT, LA
NPI
1184658635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA MD.200321)
Enumeration Date
2006-07-10
Last Update Date
2015-07-20
Business Address
Dr. THANH DAI VO M.D.
2520 BERT KOUNS INDUSTRIAL LOOP SUITE 105
SHREVEPORT, LA 71118-3130
Phone number: 318-212-5520
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Mailing Address
Dr. THANH DAI VO M.D.
2520 BERT KOUNS STE 102
SHREVEPORT, LA 71118-3130
Phone number: 318-212-5972
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