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1548853153
QUYNH PHUONG BOERNER
OKLAHOMA CITY, OK
NPI
1548853153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: OK R0122205)
Enumeration Date
2021-02-15
Last Update Date
2021-04-05
Business Address
MRS. QUYNH PHUONG BOERNER APRN
920 STANTON L YOUNG BLVD # WP1140
OKLAHOMA CITY, OK 73104-5036
Phone number: 405-271-4351
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Mailing Address
MRS. QUYNH PHUONG BOERNER APRN
PO BOX 26901
OKLAHOMA CITY, OK 73126-0901
Phone number: 405-271-4351
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