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1316221104
PHONG DUONG
MOORE, OK
NPI
1316221104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 14792)
Enumeration Date
2011-09-28
Last Update Date
2011-09-28
Business Address
-- PHONG DUONG
1201 NW 12TH ST
MOORE, OK 73170-1220
Phone number: 405-799-2244
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Mailing Address
-- PHONG DUONG
812 NW 18TH ST
MOORE, OK 73160-1508
Phone number: 405-512-9263
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