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Individual
NAM NGUYEN
Active
Individual
NAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060811916
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
01/11/2022
Last updated
01/11/2022
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