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1255047957
YEN LY HOANG NGUYEN
SAN PEDRO, CA
NPI
1255047957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95023999)
Enumeration Date
2023-01-25
Last Update Date
2023-01-25
Business Address
YEN LY HOANG NGUYEN FNP-BC
593 W 6TH ST
SAN PEDRO, CA 90731-2521
Phone number: 310-547-0202
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Mailing Address
YEN LY HOANG NGUYEN FNP-BC
9709 COMMONWEALTH BLVD
FAIRFAX, VA 22032-2824
Phone number: 571-373-1869
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