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1417474149
HUY THAN
ENGLEWOOD, CO
NPI
1417474149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CO APN.0993260-NP)
Enumeration Date
2017-08-24
Last Update Date
2021-03-18
Business Address
HUY THAN NP
601 E HAMPDEN AVE STE 310
ENGLEWOOD, CO 80113-2769
Phone number: 706-863-9595
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Mailing Address
HUY THAN NP
PO BOX 12330
AUGUSTA, GA 30914-2330
Phone number: 706-863-9595
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