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Individual
MS. THU THI MONG TRUONG
Active
Individual
MS. THU THI MONG TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001970
VA
152W00000X
Optometrist
Primary
OPC 4545
FL
Other
Enumeration date
08/24/2010
Last updated
01/20/2012
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