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1316343908
VAN NGO
OKLAHOMA CITY, OK
NPI
1316343908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK R 0075671)
Enumeration Date
2014-11-10
Last Update Date
2014-11-10
Business Address
-- VAN NGO
4413 SOUTH LEE AVE
OKLAHOMA CITY, OK 73109
Phone number: 405-631-0611
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Mailing Address
-- VAN NGO
4413 SOUTH LEE AVE
OKLAHOMA CITY, OK 73109
Phone number:
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