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1396164869
MI TU QUAN
CORONA, NY
NPI
1396164869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 287566-1)
Enumeration Date
2014-04-14
Last Update Date
2018-07-02
Business Address
MI TU QUAN D.O.
5828 99TH ST
CORONA, NY 11368
Phone number: 718-502-9867
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Mailing Address
MI TU QUAN D.O.
2709 DITMARS BLVD
ASTORIA, NY 11105-2703
Phone number: 646-318-1635
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