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1992954739
LONG VANG
BENTONVILLE, AR
NPI
1992954739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2008-09-17
Last Update Date
2011-06-01
Business Address
-- LONG VANG MHPP
2508 S.E. 20TH STREET
BENTONVILLE, AR 72712
Phone number: 479-725-5224
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Mailing Address
-- LONG VANG MHPP
2400 S. 48TH STREET
SPRINGDALE, AR 72762
Phone number: 479-750-2020
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