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1700311768
PHUONG KHANH TRONG NGUYEN
JACKSON, MS
NPI
1700311768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 75441)
Enumeration Date
2017-04-27
Last Update Date
2017-04-27
Business Address
-- PHUONG KHANH TRONG NGUYEN Pharm.D.
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
-- PHUONG KHANH TRONG NGUYEN Pharm.D.
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
Copy
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