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1497011563
SAMANTHA PHOUA VANG-CHENG
OWASSO, OK
NPI
1497011563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 5642)
Enumeration Date
2012-04-03
Last Update Date
2016-07-19
Business Address
-- SAMANTHA PHOUA VANG-CHENG DO
12455 E 100TH ST N STE 190
OWASSO, OK 74055-4675
Phone number: 918-274-5509
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Mailing Address
-- SAMANTHA PHOUA VANG-CHENG DO
12455 E 100TH ST N STE 190
OWASSO, OK 74055-4675
Phone number: 918-403-7054
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