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1659150563
PETER X NGUYEN
SHREVEPORT, LA
NPI
1659150563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: LA 338735)
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
PETER X NGUYEN PA-C
1500 LINE AVE STE 200
SHREVEPORT, LA 71101-4643
Phone number: 318-629-5555
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Mailing Address
PETER X NGUYEN PA-C
1500 LINE AVE STE 200
SHREVEPORT, LA 71101-4643
Phone number: 318-629-5555
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