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Individual
PHU A DINH
Active
Individual
PHU A DINH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
SP02162
PA
363LA2100X
Acute Care Nurse Practitioner
SP02162
PA
Other
Enumeration date
09/21/2022
Last updated
04/03/2023
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