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1487479556
QUANG PHUNG
PHILADELPHIA, PA
NPI
1487479556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP031416)
Enumeration Date
2024-11-22
Last Update Date
2024-11-22
Business Address
QUANG PHUNG CRNP
6427 LARGE ST
PHILADELPHIA, PA 19149-2747
Phone number: 619-677-4304
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Mailing Address
QUANG PHUNG CRNP
6427 LARGE ST
PHILADELPHIA, PA 19149-2747
Phone number:
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