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Individual
HA NINH
Active
Individual
HA NINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1781-715T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00159832
—
MS
05
—
2375067
—
LA
Enumeration date
08/05/2014
Last updated
12/16/2014
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