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1215299086
NGOC BAO PHAN
LILBURN, GA
NPI
1215299086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 73360)
Enumeration Date
2012-06-08
Last Update Date
2024-10-28
Business Address
Dr. NGOC BAO PHAN D.O
625 BEAVER RUIN RD NW STE E
LILBURN, GA 30047-3407
Phone number: 678-369-9399
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Mailing Address
Dr. NGOC BAO PHAN D.O
625 BEAVER RUIN RD NW STE E
LILBURN, GA 30047-3407
Phone number: 678-369-9399
Copy
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