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1932989845
LY LUE VANG
FORT BLISS, TX
NPI
1932989845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-09-29
Last Update Date
2023-09-29
Business Address
LY LUE VANG
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number: 915-742-7777
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Mailing Address
LY LUE VANG
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number:
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