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1871904557
LY THIAI HOANG
BASTROP, TX
NPI
1871904557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP125663)
Enumeration Date
2014-05-15
Last Update Date
2015-01-27
Business Address
-- LY THIAI HOANG MSN, APRN, NP-C
102 COMMERCIAL DR
BASTROP, TX 78602-4616
Phone number: 512-985-6359
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Mailing Address
-- LY THIAI HOANG MSN, APRN, NP-C
102 COMMERCIAL DRIVE
BASTROP, TX 78602-4616
Phone number: 512-985-6359
Copy
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