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Individual
SOMENAN NGOC THACH
Active
Individual
SOMENAN NGOC THACH
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
IR60598678
WA
Other
Enumeration date
06/25/2016
Last updated
11/16/2016
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