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1740821644
THAO PHUONG NGUYEN
NORCROSS, GA
NPI
1740821644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA F07191819)
Enumeration Date
2019-10-01
Last Update Date
2020-09-29
Business Address
THAO PHUONG NGUYEN NP-C
3985 STEVE REYNOLDS BLVD
NORCROSS, GA 30093-3035
Phone number: 678-367-0390
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Mailing Address
THAO PHUONG NGUYEN NP-C
3985 STEVE REYNOLDS BLVD STE K102
NORCROSS, GA 30093-3099
Phone number: 678-367-0390
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