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1518642966
QUY CONG VAN
SOUTHAVEN, MS
NPI
1518642966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 4395-23)
Enumeration Date
2023-06-21
Last Update Date
2023-06-21
Business Address
QUY CONG VAN
940 CHURCH RD W
SOUTHAVEN, MS 38671-9611
Phone number: 662-253-8027
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Mailing Address
QUY CONG VAN
1195 HARBOR RIVER DR
MEMPHIS, TN 38103-8973
Phone number:
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