LY LUE VANG

FORT CAMPBELL, KY
NPI1932989845
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-09-29
Last Update Date2025-02-04
Business Address
LY LUE VANG
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
Mailing Address
LY LUE VANG
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
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