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1477821387
KONG VANG
MADISON, WI
NPI
1477821387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 13997)
Enumeration Date
2011-12-06
Last Update Date
2011-12-06
Business Address
-- KONG VANG PharmD
3518 MEMORIAL DR
MADISON, WI 53704-1574
Phone number: 608-628-0256
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Mailing Address
-- KONG VANG PharmD
PO BOX 164
COTTAGE GROVE, WI 53527-0164
Phone number:
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