JACK LUONG

PLYMOUTH, MN
NPI1942001177
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  3125)
Enumeration Date2025-03-24
Last Update Date2025-06-16
Business Address
JACK LUONG DNP, CRNA, APRN
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447-4876
Phone number: 763-559-3779
Mailing Address
JACK LUONG DNP, CRNA, APRN
PO BOX 47159
PLYMOUTH, MN 55447-0159
Phone number: 763-559-3779
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