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1255055455
PHONG NGUYEN
BOILING SPRINGS, SC
NPI
1255055455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 11559)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2022-09-30
Last Update Date
2024-08-06
Business Address
PHONG NGUYEN DPT
2646 BOILING SPRINGS RD
BOILING SPRINGS, SC 29316-6002
Phone number: 864-345-6714
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Mailing Address
PHONG NGUYEN DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206
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