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1699532416
KENNY TRAN NGUYEN
ROANOKE, VA
NPI
1699532416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131002765)
Enumeration Date
2024-02-28
Last Update Date
2024-02-28
Business Address
KENNY TRAN NGUYEN COTA/L
2521 LONGVIEW AVE SW APT 1
ROANOKE, VA 24014-1532
Phone number: 540-353-4700
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Mailing Address
KENNY TRAN NGUYEN COTA/L
2521 LONGVIEW AVE SW APT 1
ROANOKE, VA 24014-1532
Phone number: 540-353-4700
Copy
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