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1417682642
LONG THANH NGUYEN
BARTLETT, TN
NPI
1417682642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-07-21
Last Update Date
2022-07-21
Business Address
LONG THANH NGUYEN PA
3615 WELLWICK DR
BARTLETT, TN 38133-2515
Phone number: 901-337-0991
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Mailing Address
LONG THANH NGUYEN PA
3615 WELLWICK DR
BARTLETT, TN 38133-2515
Phone number: 901-337-0991
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