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1427669357
CHOM PHOU NGUYEN
GAINESVILLE, GA
NPI
1427669357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 10988)
Enumeration Date
2020-08-13
Last Update Date
2023-02-16
Business Address
CHOM PHOU NGUYEN PA-C
535 JESSE JEWELL PKWY SE STE C
GAINESVILLE, GA 30501-3772
Phone number: 770-534-9014
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Mailing Address
CHOM PHOU NGUYEN PA-C
535 JESSE JEWELL PKWY SE STE C
GAINESVILLE, GA 30501-3772
Phone number: 770-534-9014
Copy
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