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1346853074
PHONG T DANG
OKLAHOMA CITY, OK
NPI
1346853074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 3207)
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
Mr. PHONG T DANG PA
9800 BROADWAY EXT STE 200
OKLAHOMA CITY, OK 73114-6304
Phone number: 405-715-4496
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Mailing Address
Mr. PHONG T DANG PA
5520 HIDDEN TRAIL LN
WARR ACRES, OK 73132-5825
Phone number: 405-473-5045
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