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1972149672
BAO-KHUYEN NGUYEN LY
LARGO, FL
NPI
1972149672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9112468)
Enumeration Date
2019-11-18
Last Update Date
2023-04-17
Business Address
BAO-KHUYEN NGUYEN LY PA-C
13670 WALSINGHAM RD
LARGO, FL 33774-3532
Phone number: 727-593-9848
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Mailing Address
BAO-KHUYEN NGUYEN LY PA-C
11921 N DALE MABRY HWY
TAMPA, FL 33618-3512
Phone number: 813-609-3635
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