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Individual
MR. MIKE VAN HUYNH
Active
Individual
MR. MIKE VAN HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
778570
CA
163WC1500X
Community Health Registered Nurse
78912
CA
363LF0000X
Family Nurse Practitioner
Primary
95001928
CA
Other
Enumeration date
01/28/2011
Last updated
03/13/2015
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