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1962049023
BINH Q CAO
LAFAYETTE, IN
NPI
1962049023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10002841A)
Enumeration Date
2019-12-06
Last Update Date
2021-02-19
Business Address
BINH Q CAO PA-C
5165 MCCARTY LN
LAFAYETTE, IN 47905-8764
Phone number: 765-448-8000
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Mailing Address
BINH Q CAO PA-C
1200 W WHITE RIVER BLVD RCS PROVIDER ENROLLMENT
MUNCIE, IN 47303-4988
Phone number: 877-668-5621
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