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1700288479
MINH TAM THIEN HO
SHREVEPORT, LA
NPI
1700288479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA.200755)
Enumeration Date
2014-09-24
Last Update Date
2014-09-24
Business Address
-- MINH TAM THIEN HO PA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5000
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Mailing Address
-- MINH TAM THIEN HO PA
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-675-5000
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