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1720814957
DIEM-MI NGUYEN TRA
CHARLOTTE, NC
NPI
1720814957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-09-12
Last Update Date
2024-09-12
Business Address
DIEM-MI NGUYEN TRA
7118 WOODSTREAM DR
CHARLOTTE, NC 28210-6015
Phone number: 704-533-1647
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Mailing Address
DIEM-MI NGUYEN TRA
7118 WOODSTREAM DR
CHARLOTTE, NC 28210-6015
Phone number: 704-533-1647
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