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1457889420
THANH PHUNG
SAINT PAUL, MN
NPI
1457889420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 67245)
Enumeration Date
2017-06-02
Last Update Date
2020-08-21
Business Address
THANH PHUNG
2155 FORD PKWY STE A
SAINT PAUL, MN 55116-2799
Phone number: 651-696-5000
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Mailing Address
THANH PHUNG
400 STINSON BLVD FL 2 REV MGMT
MINNEAPOLIS, MN 55413-2614
Phone number:
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