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1285800425
THUONG THI DIEU LUONG
SYRACUSE, NY
NPI
1285800425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 012441)
Enumeration Date
2008-05-07
Last Update Date
2009-03-31
Business Address
-- THUONG THI DIEU LUONG PA
725 IRVING AVE SUITE 503
SYRACUSE, NY 13210-1603
Phone number: 315-464-4470
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Mailing Address
-- THUONG THI DIEU LUONG PA
750 E ADAMS ST 613 JACOBSEN HALL
SYRACUSE, NY 13210-2342
Phone number: 315-345-6961
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