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1962853135
PHUOC NAM VAN NGUYEN
ERIE, PA
NPI
1962853135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA OT017279)
Enumeration Date
2016-06-28
Last Update Date
2016-06-28
Business Address
-- PHUOC NAM VAN NGUYEN D.O.
5515 PEACH ST
ERIE, PA 16509-2603
Phone number: 814-868-8206
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Mailing Address
-- PHUOC NAM VAN NGUYEN D.O.
4131 CANTERBURY DR
ERIE, PA 16506-5334
Phone number: 714-383-0793
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