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1790138949
THAO T NGUYEN
MARIETTA, GA
NPI
1790138949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 008034)
Enumeration Date
2016-07-22
Last Update Date
2023-09-06
Business Address
THAO T NGUYEN PA
699 CHURCH ST NE STE 340
MARIETTA, GA 30060-1131
Phone number: 678-355-1620
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Mailing Address
THAO T NGUYEN PA
699 CHURCH ST NE STE 340
MARIETTA, GA 30060-1131
Phone number: 678-355-1620
Copy
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