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1649895020
NGOC-THU THI PHUNG
BROKEN ARROW, OK
NPI
1649895020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: OK R0103714)
Enumeration Date
2020-06-11
Last Update Date
2020-06-24
Business Address
NGOC-THU THI PHUNG NP
4300 W HOUSTON ST
BROKEN ARROW, OK 74012-4519
Phone number: 918-254-5000
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Mailing Address
NGOC-THU THI PHUNG NP
5132 N ELSTON AVE
CHICAGO, IL 60630-2429
Phone number: 847-235-6130
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