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1255615001
LONG QUACH
CHICAGO, IL
NPI
1255615001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-09-28
Last Update Date
2011-09-28
Business Address
-- LONG QUACH
833 W BUENA AVE APT 2102
CHICAGO, IL 60613-6600
Phone number: 917-202-1620
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Mailing Address
-- LONG QUACH
833 W BUENA AVE APT 2102
CHICAGO, IL 60613-6600
Phone number: 917-202-1620
Copy
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